moderate“People's care and support plans were not personalised and did not give staff a clear picture of how to support people to meet their assessed needs or reflect their preferences.”
moderate“Care plans did not fully reflect people's preferred support needs in relation to information being made accessible to them or how best to support them with communication.”
governance
2 findings
moderate“The audit tools used did not allow the auditors to add details or actions required to improve where necessary.”
moderate“quality monitoring and audits of the service were not always shared with them. This meant that the senior team did not always have a robust oversight of practice and care delivery.”
record keeping
1 finding
minor“one person told us that they required staff support to put their hearing aids in however this was not recorded in their care plan.”
incident learning
1 finding
moderate“if care tasks were not completed and a reason given the office was not made aware of these... a mandatory tick box... had been unticked.”
end of life care
1 finding
minor“these were brief and did not explore people's individual wishes and preferences. We spoke with the registered manager about this and they made plans to develop these during the inspection.”