moderate“Some records relating to people's risks needed more detail in people's care plans...the person's care plan was not clear on repositioning instructions.”
medication management
1 finding
moderate“People did not have PRN protocols in place to give guidance to staff about what medicine to administer when needed.”
record keeping
1 finding
minor“The person's care plan did not state what safe levels were for the person [blood sugar].”
governance
1 finding
moderate
“Other aspects of quality assurance such as risk assessments and documents relating to medicines required improvement.”