moderate“Whilst the plan of care gave information about tasks to be completed, this was basic... in the event of new staff, more detailed information was required”
moderate“Improvement was needed to increase the detail in the person's risk management plan so staff could refer to this if needed”
governance
1 finding
moderate“Some quality checks took place on records, but these were not always recorded and were limited. Further improvement was needed.”
record keeping
1 finding
moderate“reviews were not recorded in the plan of care. The provider recognised the need to formally record the verbal reviews that took place.”
consent capacity
1 finding
minor“improvement was needed to include this in the plan of care so information was available to be referred to if needed”
communication with families
1 finding
minor“the feedback and dates of discussions were not recorded. We discussed the importance of formal feedback systems with the provider”