minor“Capacity assessments were not always clear about exactly what decisions were being assessed and did not contain full information about the nature of decisions”
communication with families
1 finding
minor“The provider was not fully meeting the Accessible Information Standard. People using the service had limited English and in some cases could not read or write.”
record keeping
1 finding
minor“Where regular repositioning was identified as a risk mitigation strategy this was taking place, however staff did not always clearly record how they had repositioned people.”