critical“Medicine records did not always clearly demonstrate that people received their medicines as prescribed. Gaps between care calls were not always sufficient to allow enough time between dosages.”
governance
1 finding
critical“The registered provider's governance systems were not sufficiently robust to identify the concerns identified on this inspection, including failure to assess risk and failure to audit medicines.”
care planning
1 finding
moderate“COVID-19 risk assessments were in place but did not reflect the person's needs or predisposing factors. All COVID-19 risk assessments were identical and assessed everyone as being at moderate risk.”
record keeping
1 finding
moderate“Records were not clear on how much medicine was administered when people were prescribed medicines with a variable dose or on a when required basis.”
infection control
1 finding
moderate“Due to an oversight staff were not being tested for COVID-19 in accordance with government guidelines. Weekly PCR tests were in place, but staff were not also utilising Rapid Lateral Flow test.”