moderate“records required updating to ensure all risks identified were clearly documented”
incident learning
1 finding
moderate“These were not always effective in ensuring all incidents were reported to the registered manager. We noted an incident in February 2022 had not been reported by staff.”
governance
1 finding
moderate“Systems for managing the service were not always effective in ensuring records were accurate and up to date.”
care planning
1 finding
moderate
“not all risks were detailed, such as risks related to the use of bedrails...this information would not be available for a new staff member and may put the person at risk of harm.”
medication management
1 finding
minor“Improvements were required to ensure Information about medicine side effects were documented and written protocols for 'as needed' medicines were in place.”