critical“Systems had failed to identify the shortfalls regarding call visits and medicines.”
moderate“In recent months there had been some temporary management changes. During this period not all records had been submitted to CQC in a timely manner.”
medication management
1 finding
critical“Changes in people's medicines care needs were not always updated on the medication administration records (MAR) in a timely manner.”
record keeping
1 finding
moderate“Staff were not recording this correctly and there were numerous gaps on the person's MAR which suggested staff had not offered them all their prescribed medicines.”
missed or late visits
1 finding
critical“There were no systems to alert the management team if a call was missed, running late or was shorter than the person's plan of care set out.”