moderate“we saw there were three gaps on one person's medication administration record, and body maps for creams were not consistently completed”
moderate“guidance provided to staff to support the administration of 'as and when' required medicines were not consistently in place”
record keeping
1 finding
moderate“Staff files were not easily accessible on the day of our inspection. The registered manager could not locate staff references and DBS checks.”
governance
1 finding
moderate“we identified some inconsistencies in how the governance systems were working. For example, medication audits had not always identified areas where staff would benefit from further guidance”
leadership
1 finding
minor“The registered manager acknowledged they required more time to do administration tasks rather than undertaking care duties.”
staffing levels
1 finding
minor“we noted the registered manager was on the rota covering a significant amount of care calls”