minor“There were systems in place to monitor the quality of the service and recognise when improvements were required but these were not always recorded.”
record keeping
1 finding
minor“The supervisor and registered manager told us they carried out regular audits of people's medicines and the medicines administration record (MAR) charts, although they were not recording these.”
care planning
1 finding
minor“However, there were no records of initial assessments as these were written up as care plans. We discussed this with the registered manager who told us they would address this.”