moderate“as these were new systems, we could not be assured these were effective in identifying areas for improvement, or that they had been fully embedded into the service.”
staff competency
1 finding
moderate“The provider had not identified issues we found on inspection with the newly implemented medicines competency assessment... The auditing process was not effective”
staff training
1 finding
moderate“staff completing the assessments required further training on how to properly document practice being observed.”
medication management
1 finding
moderate“Detailed information was not included by the staff completing the assessment to give context to the answers supplied.”
infection control
1 finding
minor“the risk assessments did not include any information of any additional mitigations to reduce this risk.”