moderate“Staff expressed that management of the rostering system needed to be better organised... 'Morning call can be one hour late.'”
governance
1 finding
moderate“Quality assurance and governance measures were in place, these needed to be more effectively embedded. Additional oversight and monitoring of the service needed improving.”
medication management
1 finding
moderate“We did note some administrative discrepancies in relation to medicine tasks that had been recorded. The electronic systems did not always reflect the information recorded on the MARs.”
infection control
1 finding
minor“Staff were engaged in twice weekly COVID-19 testing regimes. However, a greater level of oversight was needed in relation to testing compliance.”
care planning
1 finding
minor“Risk management plans for some people needed additional guidance and information for staff to follow and consult should symptoms present.”
record keeping
1 finding
moderate“We identified some shortfalls in relation to care record documentation, medicine administration, recruitment and IPC arrangements.”
end of life care
1 finding
minor“One care record needed to have some additional information surrounding the advanced decisions the person had made.”