critical“We found discrepancies in several people's medicines administration records (MAR) which meant there was a risk people did not receive their medicines as prescribed.”
critical“staff signed the MAR for these medicines as 'NR' ('not required'), and did not provide any explanations why these medicines were not administered.”
critical“One person took a medicine once a week on a Monday as instructed on the MAR, but their MAR contained signatures on consecutive days which meant they had not received their medicine as prescribed.”
governance
2 findings
moderate“existing quality checks had not identified the issues we found at this inspection.”
moderate
“Medicines audits did not identify the discrepancies we found with people's medicines records.”
missed or late visits
1 finding
moderate“some people and their relatives told us staff were sometimes late when attending to their care visits or did not always stay for the whole duration of the visits.”
communication with families
1 finding
moderate“Some people and their relatives also told us they were not always notified if their care staff were running late.”
staffing levels
1 finding
moderate“Several staff members felt they did not always have enough time to complete their tasks due to the complex needs some people had.”
leadership
1 finding
moderate“At the time of our inspection there was not a registered manager in post.”