moderate“Paperwork provided by the pharmacy did not always match medicines quantities that had been dispensed... People's medicine records did not have their photographs and date of birth on.”
medication management
1 finding
moderate“Records relating to medicines needed improving... medicines audit and recruitment process could be more robust to identify the issues we found in the safe domain.”
governance
1 finding
moderate“Quality assurance systems were in place and audits were taking place. However, we found the medicines audit and recruitment process could be more robust.”
staff training
1 finding
minor“No staff had received a recent appraisal at the time of the inspection. The registered manager told us they will look to implement appraisals.”
supervision appraisal
1 finding
minor“Staff were supported through regular supervisions, though no staff had received a recent appraisal at the time of the inspection.”
incident learning
1 finding
minor“There were limited examples of lessons learned, however, during the inspection the registered manager improved documentation to support a more robust lessons learned practice.”
infection control
1 finding
minor“Some peoples clothes were being washed together... The registered managers created a risk assessment during our inspection to consider and mitigate any risks.”
consent capacity
1 finding
minor“A number of consent forms were in place for various aspects of support. However, consent to care forms were not in place.”
care planning
1 finding
minor“We found some examples where people's support around epilepsy could have been more detailed. The registered manager told us they were working to improve this.”