minor“Medication administration records we looked at listed the contents of people's medication blister pack as 1 item. This is not robust in the event a person declines 1 of the medicines in the blister pack.”
incident learning
1 finding
moderate“In May 2023, an allegation of abuse had not been communicated to the Care Quality Commission (CQC)... The registered manager formally notified us following this inspection.”
governance
1 finding
minor“Staff meetings were taking place monthly. Records of these meetings listed the themes being discussed, but there was detail missing around what was said and feedback from staff was not captured.”
consent capacity
1 finding
minor“One person was recorded as having capacity, although a best interests decision had subsequently been completed for them. The registered manager had already identified a development need.”