minor“we found some gaps in risk assessments. But by the time of writing this report, these had been addressed.”
consent capacity
1 finding
minor“We found minor issues with mental capacity assessments as there was not always detailed guidance for staff, when supporting people with cognitive impairments.”
governance
1 finding
minor“we found that some of these needed refinement to enable members of the senior management team to scrutinise the information effectively.”
supervision appraisal
1 finding
minor“staff and family members were made aware of when spot checks were taking place. The service said they would review this process to maximise the effectiveness of the spot check.”
staff training
1 finding
minor“At the time of the office visit the organisation did not have a system to easily track staff training, but by the time of writing the report they had resolved this issue.”