critical“Records used for the administration of medicines did not always identify the actual medication, dosage or time of the administration.”
record keeping
1 finding
critical“Risk assessments were not always in place for managing some people's needs and those that were, were not always accurate or current.”
incident learning
1 finding
critical“Accident and incidents had not always been documented appropriately; therefore, we could not see what or if actions had been taken to protect people.”
staffing levels
1 finding
critical“Required checks of suitability for staff being employed to work with vulnerable people were not always completed.”
governance
1 finding
critical“These were not effective or robust enough in highlighting the concerns we found with recruitment, records for managing medicines and risk management.”
care planning
1 finding
moderate“Some records we viewed showed changes in people's needs were not always recognised or recorded in a timely way.”