critical“Care plans did not always provide enough detail about people's individual needs or how they wanted their care provided.”
medication management
1 finding
critical“Care workers were not recording their involvement in the administration of the prescribed medicines for this person.”
staff training
1 finding
critical“3 had not completed moving and handling training, 1 had not undertaken health and safety training and 2 had not completed infection control training.”
staff competency
1 finding
critical“The provider could not demonstrate that the care workers' competency in managing and administering medicines had been assessed.”
consent capacity
1 finding
critical“The registered manager had not undertaken a mental capacity assessment to confirm if the person could consent.”
governance
1 finding
critical“The quality assurance process developed by the provider to review care plans did not enable them to identify where additional information was required.”
person centred care
1 finding
moderate“Care plans were not written in a person-centred manner which identified the person's wishes in relation to how they wanted their care provided.”
record keeping
1 finding
moderate“The registered manager explained they had regular contact with people...but these discussions were not recorded.”
infection control
1 finding
moderate“The COVID-19 risk assessments did not consider all the risk factors associated with COVID-19 such as ethnicity and age.”
end of life care
1 finding
minor“The provider told us a person's end of life wishes was not discussed with them or their relatives during the initial needs assessment.”