Fernwood

Whilst records had improved since our last inspection they were still not very detailed and it was not evident that they were planned to meet the person's goals. For example, a staff member said, "I let him lead where we go and I follow. Sometimes he is indecisive and we walk to and fro". When this was the case, staff and the person walked around the local area. There was limited information recorded to state if the person's needs were met and to assess if they were happy with their day activities. We asked another staff member if they did sensory walks or if there was any planning in advance of outings to assess what the person could achieve from the outing. This had not been done but the staff member thought this could be done.

Staff could not confirm and the records did not show they had tried different trains or participated in more activities as stated in their plan.

There were no effective systems to audit care plans and the activities provided to ensure they continued to meet people's needs. Whilst care plans were reviewed regularly, the systems for review did not identify the shortfalls we found in relation to risk management and activities.

There were no formal systems to analyse the findings of these systems.