moderate“the amount of detail included in the guidance varied. For example, 1 moving and handling assessment gave detailed information...whilst another was very brief.”
moderate“Where one person could become anxious and have behaviours that could be challenging, guidance was not always clear what the behaviour was and what staff should do.”
person centred care
2 findings
moderate“The management team were aware some support plans needed more person-centred detail. Work was ongoing to review and improve the level of detail in people's risk assessments.”
minor“Documents were not all available in formats suitable for people supported. For example; pictorial or easy read.”
governance
2 findings
moderate“At the time of our inspection there was not a registered manager in post. An experienced interim manager from the provider's head office had been in post for 3 months.”
moderate“the service was not yet able to demonstrate over a sustained period of time that management and leadership was consistent”
consent capacity
2 findings
moderate“the capacity assessments lacked sufficient detail in respect to the area that was being assessed”
moderate“When relatives held power of attorney for people there was not always evidence this had been verified, so we could not be sure they had the legal right to make decisions”
staffing levels
1 finding
minor“a small number of people felt their preferences of gender specific staff was not always met”
missed or late visits
1 finding
minor“the service was heading in the right direction with improved call timings percentages, however the provider acknowledged there was still further work in this area”