moderate“there was not always documentary evidence that this had been carried out”
incident learning
1 finding
moderate“the registered manager was able to explain to us how they evaluated incidents and learnt lessons, but there was no documented evidence to support this”
medication management
1 finding
minor“we identified some documentation needed improving to meet the National Institute for Health and Care Excellence (NICE) guidelines”
infection control
1 finding
moderate
“we received a concern that the infection prevention and control policy and guidance had not been followed, putting people at potential risk”
record keeping
1 finding
moderate“Although the registered manager carried out lessons learnt these were not always documented to evidence improvements”
consent capacity
1 finding
minor“The documentation in care plans was being reviewed and improved at the time of our inspection. This was to ensure the legal framework for making decisions was followed.”