critical“Information regarding people's allergies was not always recorded on medicines administration records (MAR's) as per national guidance.”
critical“The system in place to check the MARs contained all of the medicines the person was prescribed when the new supply of medicines arrived was not effective.”
critical“Thickening powder...was not always stored safely, therefore there is a risk people could be harmed due to accidental ingestion.”
moderate“The actual time a medicine was administered was not documented for time sensitive medicines, for example paracetamol.”
moderate“Staff were not following the manufacturer's instructions and were not rotating the area the patches were applied to, so there was a risk people might suffer from skin irritation.”
governance
1 finding
moderate“Audits connected to people's medicines had not been entirely effective, given the shortfalls we have identified.”
record keeping
1 finding
critical“Records for adding thickening powder to drinks...were not always completed therefore we could not be assured people were safe from the risk of choking.”