moderate“we found that there were occasions where there were inconsistencies in the completion of MARs. We found that there were occasions where there were gaps in MARs”
moderate“the service did not have an effective medicine administration audit in place. There were gaps and inconsistencies in a sample of MARs we looked at and we noted that this was not identified in a medicines audit”
critical“the service was not completing Medication Administration Records (MARs) when administering medicines to people. People were therefore at risk of not receiving their medicines safely”
governance
2 findings
moderate“the service had failed to regularly and effectively check medicine administration records”
critical
“the service did not have effective systems and processes in place to assess, monitor and improve the quality of the services provided”
care planning
1 finding
critical“risk assessments contained limited information and some areas of potential risks to people had not been identified and included in the risk assessments”
staff training
1 finding
moderate“no evidence to confirm that three out of six members of staff had received further training other than the induction they received when they started working at the service”
supervision appraisal
1 finding
moderate“there was a lack of evidence to confirm that staff had received supervision sessions”
record keeping
1 finding
moderate“there was a lack of consistency in the care records we looked at. We found that the quality of care documentation varied in each of the care plans we looked at”