moderate“the checks on people's personal and medicine records were informal and had not been recorded. It was therefore difficult to determine what action had been taken.”
medication management
1 finding
moderate“shortfalls in some aspects of the record keeping. This included a lack of guidance on the specific administration of certain medicines and medicines prescribed as necessary.”
governance
1 finding
critical“The provider had failed to establish an effective quality monitoring system and had not always assessed risks to people's health and safety. (Regulation 17 (1) (2) b)).”
staff competency
1 finding
critical“The provider had failed to operate a safe recruitment procedure. This was a breach of regulation 19 1(c) 3 (a)”
care planning
1 finding
moderate“not all risks had been assessed in relation to skin integrity and the management of people's medicines.”