moderate“We identified 2 products within emergency medications that were out of date, however the checks completed at the beginning of the month only identified 1 product as being out of date and no action had taken place.”
staffing levels
1 finding
moderate“we saw several examples where bed numbers had been reduced, the maximum number of staff had not been deployed, and patients were waiting on the waiting list.”
incident learning
1 finding
moderate“Managers did not always ensure that actions from patient safety alerts were implemented and monitored.”
governance
1 finding
minor“the 'improving mouth care' action was recorded as complete and being implemented in September 2022 and had not recognise the risk of oral sponges still being in use found on inspection.”
staff competency
1 finding
minor“Staff were not always aware of the procedure to carry out cardiopulmonary resuscitation (CPR) for someone nursed in bed... staff spoken with were not aware of this.”