critical“Medicine charts did not document which staff member had administered medicines. This was a breach of regulation 12 (Safe care and treatment).”
record keeping
1 finding
critical“The provider failed to record the process of assessing and mitigate risks for people who use the service. This was a breach of regulation 17 (Good governance).”
care planning
1 finding
critical“The provider failed to record the process of assessing care needs for people who use the service. This was a breach of regulation 17 (Good governance).”
governance
1 finding
moderate“Audits had not identified all the issues found on the inspection, for example the audits had not identified medicine charts did not document which staff member had administered medicines.”
supervision appraisal
1 finding
minor“Staff told us they received monthly supervision and regular competence checks; however these were not dated.”