critical“the provider had failed to make sure a mental capacity assessment was carried out to ensure decisions were made in the persons best interest.”
critical“An application to the Court of Protection had not been made for them to authorise the person to be deprived of their liberty for their own safety.”
governance
1 finding
critical“The providers quality monitoring systems were not always effective. They had not identified the shortfalls we found”
staff training
1 finding
moderate“staff had not received training on restraint. Only one staff member had received training on Learning Disability and Autistic Spectrum Disorder.”
care planning
1 finding
moderate“the persons care plan referred to them escaping or wandering off in doors.”
person centred care
1 finding
moderate“care plans were developed in a person-centred way”