moderate“information on the electronic medicines administration records (EMARs) did not always correspond to the information held in people's care plans”
minor“Where people required support to apply topical creams, sufficient information was not in place to ensure these were applied appropriately.”
governance
2 findings
moderate“The service did not have a scheduled approach to audits and governance checks. Care plan reviews had not been undertaken regularly as planned.”
moderate“The provider's governance system had not identified the issues found during our inspection visit. For example, medicine updates, competency checks, care plan reviews.”
care planning
1 finding
moderate“care plan reviews had not taken place regularly, these risks were not always monitored. There was no evidence people had been harmed as a result.”
staff competency
1 finding
moderate“There was no clarity about whether staff had received checks on their competency, although we observed some of these checks had been undertaken.”