moderate“The service did not always review people's care plans and risk assessments to ensure that they reflected people's changing needs and many plans were now out of date.”
record keeping
1 finding
moderate“Records of care were incomplete as they were not arranged in a way which meant the service could track people's changing needs.”
governance
1 finding
moderate“The service did not have very effective systems of audit for ensuring that care plans and risk assessments were still up to date.”
medication management
1 finding
moderate“Care workers maintained appropriate records of medicines administration, however these were not routinely audited by managers.”
infection control
1 finding
moderate“No changes had been made to this policy since 2010 despite the Covid-19 pandemic and considerable changes to infection control practice.”
leadership
1 finding
moderate“At the time of our inspection there was not a registered manager in post. The provider had recruited to the post of registered manager but they were yet to start work.”
consent capacity
1 finding
minor“Managers were not always clear on the need to obtain consent from people rather than their family members when people had the capacity to make decisions for themselves.”
incident learning
1 finding
minor“Policies lacked detail about how incidents would be responded to and what measures would be taken to identify and address root causes.”