critical“One person's thickening powder had not been signed as given for over 2 weeks, due to not being included on the medicine administration record.”
record keeping
1 finding
critical“Issues with the recording of a controlled drug. This included the wrong date of administration being documented and a medicine being recorded as received, but stock levels remaining the same.”
governance
1 finding
critical“Systems and processes to monitor the safety and quality of service provision, had not always been completed effectively. This is a breach of regulation 17(1)(2).”
staff training
1 finding
moderate“Training in learning disability, autism and mental health awareness was not included in the initial 7 week induction process for new staff.”
supervision appraisal
1 finding
minor“Staff confirmed they received regular supervision, although there was no agreement on how frequently this took place...we could not confirm this level of frequency had been achieved.”