critical“Quality assurance systems were not fully effective at monitoring the service or identifying areas for improvement. This was a breach of regulation 17(1)”
moderate“The audit form in place did not identify where people's medicines were not clearly recorded on the MAR chart or where there was no specific guidance for staff.”
record keeping
1 finding
moderate“some people's bowel monitoring charts and skin integrity reviews were not consistently recorded.”
medication management
1 finding
moderate“some people's medicine administration records (MAR) were not consistently completed.”
care planning
1 finding
moderate“where people had known allergies recorded, their care records did not contain specific risk assessments to inform and guide staff.”