moderate“Medicine records were not always clearly completed to show how medicines were managed. For example, sometimes there were gaps instead of signatures or codes to explain why a medicine had not been administered.”
moderate“Medicine records relating to how a pain relief patch was managed were not clear to show this was alternated to different areas of the body and the removal of the old patch as directed.”
complaints handling
1 finding
minor“This did not contain clear details of people who could be contacted with names and contact numbers should people wish to escalate their concerns outside of the agency.”
cultural competency
1 finding
minor
“It was not evident from our discussions how the service might identify those people needing support with their sexuality. For example, a person who may be lesbian, gay, bi-sexual or transgender.”
care planning
1 finding
minor“One relative felt this was not always consistent and told us, 'I am not sure each carer knows and has read and digested the care plan fully.'”