moderate“The service was supporting people receiving end of life care, but their wishes had not been recorded. People did not have end of life care plans in place.”
care planning
1 finding
moderate“People's care records did not consistently record their preferences, likes and dislikes and the provider still had work to do in regard to ensuring consistency of records.”
governance
1 finding
critical“Although the registered manager had implemented systems for monitoring quality, they had failed to identify the concerns found during this inspection.”
person centred care
1 finding
moderate“One person told us, 'I have never been asked if I am ok with male carers'. A relative said, 'My [family member] would really prefer two female carers'.”
record keeping
1 finding
moderate“Person centred care planning and end of life planning and recording of people's wishes had not been included [in the improvement plan].”