moderate“medicines in blister packs had been signed for but there was no indication of which medications were given at each call throughout the day”
moderate“one person's medicines included multiple medication patches, and it was not clear what precautions had been taken to prevent placement of patches in a recently used site”
record keeping
1 finding
moderate“one person required support with her medication, however the care plan stated she self-administered all medication. This discrepancy had not been picked up during the audit process”
governance
1 finding
moderate
“The provider had not identified the need for this clarification in their auditing process.”
care planning
1 finding
moderate“Care plans were not always up to date with people's changing support needs and did not contain accurate information about people's medicines.”
consent capacity
1 finding
minor“There was a lack of written evidence of capacity assessments in care documents to guide staff when supporting people who lacked capacity.”