minor“The action plan was not always followed up on in recording how tasks had been completed. The registered manager noted that it was important to evidence any changes required as a result of the audit.”
minor“The registered manager advised shorter audits were completed monthly, although a formal report was not always prepared.”
medication management
1 finding
minor“We found the records of 'as required' (PRN) medicines did not provide sufficient information on when these should be administered. Reference was made to a PRN protocol however this could not be found.”