critical“For medicines that are time sensitive, for example paracetamol, we found the actual time the medicine was given was not recorded, so we were not assured the required safe time interval was observed.”
critical“Allergies were not always recorded on people's medicines administration record, this meant people might have been given medicines they had previously reacted to.”
moderate“Staff did not always have access to guidance around how or where to apply people's prescribed creams.”
governance
1 finding
critical“Audits and checks had failed to identify some of the concerns we found in relation to people's prescribed medicines. For example, time sensitive medicines, allergies and application of topical creams.”
record keeping
1 finding
moderate“Medicine administration records showed some people did not always receive their medicines as prescribed.”