moderate“medicine administration records (MAR) were not always clear regarding when the medicine was administered, who administered the medicine, the single dose given and the reason”
moderate“This put people at risk of overdosing and not receiving their medicines as prescribed.”
care planning
2 findings
minor“positive behaviour plans required additional information regarding any restrictive practices required.”
minor“Care plans held some minor conflicting information within them. The registered manager agreed to amend these documents immediately.”
incident learning
1 finding
moderate“Recording of incidents required embedding into practice. Incidents of behaviours that put people at risk of harm required more detailed recording.”
record keeping
1 finding
moderate“records of behaviours were not always recorded on the correct forms. This meant information was not always consistently recorded with all the details required.”
staff training
1 finding
minor“Information recorded regarding staff training was not up to date during the inspection. The information showed some staff had not completed the training specified by the provider.”
governance
1 finding
moderate“the audits on medicines had not identified the concerns found on inspection.”