moderate“These audits were however, not sufficiently comprehensive and we did not see documented evidence of regular and planned audits for punctuality, medicine arrangements, care documentation, incidents and accidents.”
medication management
1 finding
minor“Monthly checks of MARs had been carried out to ensure that medicine administration procedures were followed. We however, noted that these checks had not been routinely documented.”
communication with families
1 finding
minor“With one exception, people and relatives knew how to make a complaint...The registered manager promptly contacted the person concerned who was unaware of the complaints procedure.”