critical“There were no protocols in place for staff to follow for people who needed support with medicines which were administered 'as and when required'.”
moderate“Medication audits had failed to identify the risks associated with the gaps in MAR charts [Medication Administration Records].”
record keeping
1 finding
moderate“Care plans and risk assessments did not provide an accurate and up to date picture of people's needs.”
governance
1 finding
critical“Systems in place to monitor the quality of care people received had not identified areas of potential risk which were found on inspection.”
care planning
1 finding
moderate“Where 1 person had a particular medical condition, there was nothing documented in their care record to explain to staff how to support them.”