moderate“some care records did not include important information relating to people's specific support needs, and risk assessments lacked detailed strategies to guide staff.”
moderate“Some care records lacked comprehensive information regarding people's health conditions, diagnosis, behaviours, and other needs such as communication.”
consent capacity
2 findings
moderate“they detailed decisions made even for those people assessed as having capacity and some forms were used to assess people for several decisions, which is against the principles of MCA guidance.”
moderate“care coordinators had signed mental capacity assessments and best interest decision forms rather than the person receiving care or their next of kin.”
medication management
1 finding
minor“information around people's needs or preferences regarding medication administration was lacking person-centred information.”
record keeping
1 finding
minor“it was not always clear if periodic checks or servicing had been carried out to ensure equipment was safe for staff to use.”