moderate“Risk assessments had not always been updated when a person's needs changed and also lacked detail in some examples seen.”
care planning
1 finding
moderate“The quality of information recorded in the care plans was inconsistent. Some contained detailed person-centred information, others were not completed to the same standard.”
staff training
1 finding
minor“Further higher-level training was required in areas such as dementia.”
incident learning
1 finding
minor
“Learning and sharing from lessons needed embedding with staff.”
staffing levels
1 finding
minor“Staff had not always stayed for the agreed length of the call. This had been identified by the management team, who were addressing this at the time of inspection.”
end of life care
1 finding
minor“Advanced care plan templates were within people's care plans but were yet to be discussed or completed with people.”
leadership
1 finding
minor“The registered manager had been absent from the service since February 2021...recent changes with the registered manager had left staff and relatives feeling anxious and uncertain.”