critical“There were not enough staff available to consistently provide the correct level of support to all people.”
medication management
1 finding
moderate“Medicine's records were not always completed accurately or in line with best practice. Audits and checks had not always identified these errors.”
staff training
1 finding
moderate“Staff had not received training promptly to understand how to safely manage situations when people were distressed.”
governance
1 finding
moderate
“Due to a lack of staff, some of these had not been completed as regularly as required by the provider's governance systems.”
consent capacity
1 finding
moderate“People's records did not clearly reflect how conclusions about people's capacity to make certain decisions had been reached.”
record keeping
1 finding
minor“A full career history was not being sought by the provider.”