moderate“records were not robust because people's names were not recorded in the audits. This meant patterns and trends for a specific person may not be swiftly identified.”
moderate“Governance systems had not identified risk assessments were not always in place for health conditions to provide staff with an understanding of the health condition”
care planning
1 finding
moderate“changes were not always promptly reflected in people's care plans. Staff were updated on any changes through the electronic system, but a delay may risk staff not being unaware of the changes”
staff training
1 finding
minor
“Some staff needed specialised training to be able to support all people using the service. The registered manager was aware of this, and was already sourcing training for Parkinson's disease, epilepsy”
record keeping
1 finding
moderate“Quality assurance checks had not always ensured people's care plans were consistently and promptly updated as their needs changed.”