minor“where people needed medicines administered in a specific way and time, there was no guidance on the medicines administration records (MAR).”
record keeping
1 finding
minor“some people's MAR charts lacked detail. Audits included this subject but had not identified this omission.”
safeguarding
1 finding
moderate“we found one safeguarding incident which had not been reported. The registered manager told us that all relevant authorities were involved.”
governance
1 finding
minor“staff not always recording they had administered medicines or recorded people's skin condition or not always communicating well with people during a care call visit.”