critical“The registered manager was not consistently clear on what should be submitted as a CQC statutory notification. We found some incidents which had occurred which had not been notified.”
moderate“The providers audit systems were not consistently effective at identifying improvements. The care plan audits had not identified the improvements needed for MCA assessment.”
consent capacity
1 finding
moderate“Improvements were needed to the recording of MCA assessments and best interest discussions. It was not always clear which decisions the forms related to.”
record keeping
1 finding
moderate
“There were inconsistencies in how this was operating and some of the daily care recording lacked detail.”
communication with families
1 finding
minor“They did not always feel the management team communicated effectively. For example, when other professionals had visited their loved one, they were not always informed.”