critical“records used by staff as a point of reference about people's safety were not always consistent, accurate or up to date. This put people at risk of harm.”
governance
1 finding
critical“Governance and performance management was not always reliable and effective and had failed to ensure remedial actions for the concerns found during this inspection were implemented in a timely way. This was a breach of regulation 17(2)(b)(c)”
care planning
1 finding
moderate“Care records were not well organised and included important omissions and outdated information. There was no meaningful process to ensure support was responsive to meet people's needs.”
communication with families
1 finding
moderate“the information was not always up to date and failed to record changes and deterioration in people's ability to communicate.”
person centred care
1 finding
minor“most people felt they did not have a say in who their carer's were and were not aware they could have a choice.”