critical“people's care plans were not always up to date, sufficiently personalised or reflective of the care and support people received”
person centred care
1 finding
critical“Care plans did not always reflect people's likes, dislikes and preferences for their care and support.”
end of life care
1 finding
moderate“There were not always appropriate end of life care plans in place... the person's care plan did not make reference to this or set out the person's wishes”
record keeping
1 finding
critical“the registered manager had not made sure other records were maintained as accurate, timely and complete”
governance
1 finding
critical“checks had failed to identify and address that people's care plans were not always up to date or reflected their current care provisions”
supervision appraisal
1 finding
minor“staffing records indicated these did not always take place regularly throughout the year”
incident learning
1 finding
minor“an incident when a person's home utilities failed had warranted recording... they recognised this should have been recorded appropriately”