moderate“not all people's medicines administration records (MARs) were complete or accurate. Where people were supported with medicines that had to be administered in a specific way, staff had not recorded when and how they had administered this medicine.”
care planning
1 finding
minor“other records including the use of moving and handling equipment lacked detail... The lack of detail in some people's care plans about how independence would be promoted created a risk that opportunities to improve independence could be missed.”
governance
1 finding
moderate“The provider's medicines administration audits had not identified this omission... these areas should have had better oversight.”
record keeping
1 finding
minor“staff were reminded to include a detailed account of their care call visits... reminding staff to always keep accurate and detailed documentation.”