minor“it was not always possible to cover staffing if there was sickness or annual leave”
consent capacity
1 finding
minor“We saw a mental capacity assessment for one person who did not have a legal representative. These were not individual and did not include information about how the decisions had been made.”
end of life care
1 finding
minor“There was no information about people's end of life wishes. The registered manager and clinical lead told us these discussions would be held when appropriate to do so.”
leadership
1 finding
minor“The manager is a nice guy, but he works on his own, he needs staff.”
governance
1 finding
minor“Provider had identified improvements were needed to the audit system. A new audit schedule had been developed which ensured regular audits across all services.”