critical“Robust audit systems were not in place to ensure people received safe personalised care.”
critical“This was a breach of regulation 17 (good governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.”
care planning
2 findings
moderate“Risk assessments had not been completed in relation to people's health conditions to ensure risks associated with people's medical conditions were minimised”
moderate“Care plans did not include the level of support people required with meals or drinks and did not include their preference with meals.”
person centred care
1 finding
moderate“Care plans were not person-centred and did not include people's preferences with care.”
communication with families
1 finding
moderate“Communication plans included how people communicated but did not include how staff should communicate with people.”
medication management
1 finding
moderate“Audits had not been completed on medicines to ensure medicines were being managed safely”
record keeping
1 finding
moderate“staff did not have access to detailed person-centred care plans to facilitate them providing care to people the way they preferred”