moderate“The care plan and other records at the office did not show this as an identified care need and did not provide any instructions on how staff needed to complete this.”
minor“the assessments did not always contain information gathered from other relevant health professionals...a plan to manage a person's anxieties only contained information given by their relatives.”
staff training
1 finding
moderate“suitable refresher training had not been carried out for five years for these staff members and therefore they could not be assured of having current and up to date skills and knowledge”
governance
1 finding
moderate
“Systems in place had not identified shortfalls in some practices undertaken by members of staff and shortfalls in training requirements.”
record keeping
1 finding
moderate“audits of records returned to the office were not sufficient to identify areas where clarification was needed”