moderate“Care plans were not personalised, and they provided limited information and guidelines for staff so they could meet people's needs and preferences.”
moderate“there was limited information recorded about people's protected characteristics and people's overall health and medical history.”
medication management
1 finding
moderate“within the provider's medicines policy there was no definition of what "prompting" entailed.”
end of life care
1 finding
minor“the provider did not have a section within the care plan to record any relevant information regarding people's wishes.”
governance
1 finding
moderate“The service did not have quality assurance systems in place to monitor service delivery.”
record keeping
1 finding
minor“The registered manager was not recording people's oral health needs which meant staff would not know what people's daily oral healthcare was.”
consent capacity
1 finding
moderate“we were unable to determine if the provider had the correct assessments in place to support people who lacked capacity.”
person centred care
1 finding
moderate“there was no information about the people's background, family, likes, dislikes and hobbies which could provide staff with context.”