minor“The management team learnt from medicines errors in the service. These errors were analysed, and the registered manager implemented an action plan to reduce the risk of recurrence.”
governance
1 finding
minor“The management team has changed in the pandemic and the provider supported the services with quality and safety monitoring in the interim. We saw evidence of auditing plans being re-instated in May 2022”
care planning
1 finding
minor“some aspects of the service still needed work and this was planned by the provider, for example, around how people's tenancy and support were clearly not dependent on each other.”