minor“some risk management plans lacked detail. For example, some people had an identified risk of developing sore skin and their care plan told staff to 'check skin' but gave no more information.”
medication management
1 finding
minor“staff did not have clear guidance on how skin sites should be rotated to allow sufficient 'rest time'. Immediate action was taken during our visit to provide clear instructions for staff to follow.”
communication with families
1 finding
minor“People's care plans contained limited information about their communication abilities, and we discussed this with the registered manager.”
staff training
1 finding
minor“Some staff felt more in-depth training would help them develop their skills further in areas such as deprivation of liberty, diabetes, dementia awareness and skin care.”