moderate“The name of the creator was recorded, and it was checked to ensure it was correct by a second member of staff. This check was not recorded but not recorded.”
moderate“The service policy stated that a second member of staff should check the entry and sign to confirm it was correct. This was not always being done.”
minor“There was no system in place to check that this was happening.”
care planning
1 finding
minor“There was no personalised information about how the person was affected by their condition or any signs and symptoms staff should be aware of.”