moderate“We found gaps in various records during the inspection process which made it difficult to establish what actions had or had not been taken.”
governance
1 finding
moderate“The providers systems did not always effectively monitor the quality of the care provided to drive improvements.”
care planning
1 finding
moderate“The provider's electronic care planning system had limited their ability to create bespoke care plans for health conditions such as, diabetes.”
medication management
1 finding
minor“The guidance was often generic stating 'give for agitation' without describing what agitation looked like for each individual.”
incident learning
1 finding
minor“More robust recording of the outcomes was needed. We noted on accident and incident forms not all the areas were completed after an incident.”
person centred care
1 finding
minor“People raised some concerns about call bells and the mealtime experience, these areas were not being effectively monitored.”