moderate“care plans did not always detail when people needed 'as and when' medicine such as pain relief.”
moderate“Where people had regularly used an 'as and when' medicine, this was not always escalated by staff as outlined by the prescriber.”
governance
1 finding
moderate“these had not always been completed in full and had failed to recognise the issues identified regarding 'as and when' medicines.”
end of life care
1 finding
minor“Staff had not always received specific training in relation to end of life care...People's preferences for the last stages of their life had not been discussed or documented.”