critical“Staff were not always supported to access training that was specific to peoples' support and health care needs. Not all staff had received training in catheter care.”
staff competency
1 finding
critical“One of the assessments viewed had been completed by staff who had not received training themselves with this task.”
consent capacity
1 finding
critical“A mental capacity assessment and best interest decision had not been completed, and no consideration had been made in relation to deprivation of liberty safeguards (DoLS).”
governance
1 finding
critical“Governance systems were not always robust or effective and had not identified the shortfalls we found during the inspection.”
record keeping
1 finding
moderate“Full employment histories were not always fully recorded. A number of forms viewed had been signed by people's relatives... no copies of the records to evidence the relatives who signed had legal authority.”
care planning
1 finding
minor“Some care plans lacked detail about people's individual needs.”