moderate“Some risk assessments had not been completed for some people. Records showed that some people were at risk of falls. One person had osteoporosis... Risk assessments had not been completed on this.”
governance
1 finding
moderate“Audits were carried out on people's care plans, risk assessments and medicine records. However, this had not identified the shortfalls we found with risk assessments.”
record keeping
1 finding
moderate“Although the medicines audits identified gaps on people's medicines records, this did not detail if the gaps were a recording keeping error or if medicines had not been administered.”
supervision appraisal
1 finding
minor“Formal 1:1 supervisions of staff had not been completed regularly in accordance to the providers supervision policy, to ensure staff felt supported at all times.”