critical“arrangements for managing medicines were not always safe. Records did not always accurately account for the medicines staff had given to people. In particular, there were unexplained gaps in medicines administration records”
critical“Medicines records did not accurately account for individual medicines given to people. We found unaccounted for gaps in medicines administration records (MARs) for three out of four people.”
critical“On four consecutive days the daily logs for the person stated 'left [the person's] tablets on the table for [the person] to take.'”
record keeping
1 finding
moderate“Where staff members had used this code on the MAR, there wasn't always a full explanation in the daily log to explain the reason for its use.”
governance
1 finding
moderate“The registered provider's approach to medicines audits was inconsistent. We saw a date and signature on some MARs to show they had been checked, whilst on others there was no signature.”