minor“records did not show clearly the overall investigation process and the actions to be taken to minimise the risk of recurrence...Managers did not always sign the accident and incident forms”
record keeping
1 finding
minor“The service had recorded 18 medicine errors since registration In October 2016. None of the errors caused harm and were generally based around record keeping.”
supervision appraisal
1 finding
minor“one to one meetings with staff (supervision) had not happened as regularly as the supervision policy stipulated it should since October 2016.”
governance
1 finding
moderate“One local authority had issues around quality, care practices, record keeping and communication in relation to the support people who lived alone received.”