minor“Risk assessments were not always completed in a person centred way. For example, some risk assessments were generic and not tailored to each individual.”
governance
1 finding
minor“The provider had a system in place to monitor that people received the correct call times. However, this was found to not always be effective due to variable Wi-Fi in people's homes.”
staff training
1 finding
minor“The provider did not have specific end of life care training in place for staff.”
record keeping
1 finding
moderate“1 person had not had a regular medication recorded on their MAR sheet due to an ordering dispute.”