moderate“one person's care plan had noted they might be at risk of developing a pressure area. However, a full risk assessment had not been completed, such as a waterlow score, and there were no written plans in place”
medication management
1 finding
minor“Staff looked at the medicines in each person's blister pack and then hand wrote a MAR. The MAR was then taken to the office and typed out by another member of staff... there was a risk this might happen.”
record keeping
1 finding
minor“One staff member's file, who had been recently been recruited, did not contain a full employment history, but the nominated individual ensured this information was recorded by the end of the inspection.”
communication with families
1 finding
minor“they change the roster quite often actually so I never know who's coming. It can all be a little unsettling”