Following an independent inspection, issues with staff training and reduced respite care at the Isle of Man's Hospice have been brought up.
Additionally, the Care Quality Commission (CQC) discovered problems with cleaning procedures, medicine storage, and sepsis awareness.
However, the UK health watchdog discovered that overall, the facility's staff was "effective" and "compassionate.".
There were 11 recommendations in total, some of which, according to a hospice spokeswoman, had "already been addressed.".
The Department of Health and Social Care (DHSO) commissioned the week-long CQC review, which recognized a "strong culture of working together" and highlighted some good practices.
However, worries were expressed that the service wasn't always secure.
As cleaning equipment was not divided for use in specific areas, the inspection discovered a risk of cross contamination.
As a result, bathrooms, bedrooms, common areas, and kitchens were all cleaned using one mop per floor.
Temperatures in the medicine rooms were not being monitored, and access to resuscitation supplies was difficult.
It was suggested that staff members receive training on how to assist patients with autism, learning disabilities, and mental health needs.
A Hospice spokeswoman confirmed that a training program utilizing learning disability nurses would be implemented in 2023, despite the UK watchdog's lack of enforcement authority on the island.
John Knight, the chief executive of Hospice Isle of Man, welcomed the report's conclusions and promised that his organization would work to implement the suggestions throughout 2023.