minor“we identified this does not comply with the basic principles of the safe administration of medicines and we have asked the manager to review the use of this form.”
moderate“MARs were written by staff and did not include all the required information. The medicine policy did not include all the required information.”
staff competency
1 finding
moderate“Staff received medicine training and were observed administering medicines before they carried out the task unsupervised. However, their competency was not formally assessed.”
care planning
1 finding
moderate
“Care plans were generally basic and although reviews were carried out, updates were not always recorded on the actual care plan.”
record keeping
1 finding
moderate“One person's care and medication records had not been audited since April 2019.”
governance
1 finding
moderate“Some issues identified during the inspection had not been picked up through the provider's monitoring processes.”
incident learning
1 finding
minor“They did not always note any lessons learned so said they would make sure this was included in future.”