moderate“the registered manager had not always assessed risks where it was appropriate to do so... no information to guide staff on how to reduce this risk.”
medication management
1 finding
critical“staff had often not given one person prescribed eye drops... person consistently refused to take their medicines... had not been followed up by the service.”
record keeping
1 finding
moderate“no records of these audits had been made... records relating to the completion of staff training or staff competence had not been made.”
consent capacity
1 finding
moderate“In one person's record it stated 'lacks capacity to make decisions' but no other information about how staff could support the person with this was recorded.”
staff competency
1 finding
moderate“there was no recorded evidence that the registered manager had assessed new staff as being competent before they worked on their own.”
governance
1 finding
minor“no action plan had been put in place to monitor these improvements had been made.”