moderate“Some medicine administration records (MARs) were handwritten. There was no evidence that the hand written MARs were checked to ensure that they were accurate.”
moderate“There was a policy in place regarding the administration of "as required" medicines. However, information specific to each person, was not in place.”
staff competency
1 finding
critical“records did not always evidence the clinical care training staff had completed or whether their competency had been assessed. This included areas such as tracheostomy care.”
governance
1 finding
critical
“Quality auditing was not fully effective, as management had not identified the competency assessments for staff, were incomplete.”
care planning
1 finding
minor“Other areas were less comprehensive, with phrases such as, "Check vulnerable areas." Whilst the information lacked detail, staff told us they were aware of people's needs.”
record keeping
1 finding
critical“Many of the assessments were incomplete and did not give a conclusion of the staff member's competence. This did not demonstrate all staff were sufficiently knowledgeable.”