moderate“there were a few occasions where medicine errors had occurred and were due to staff forgetting to administer people's medicines.”
moderate“we found discrepancies in the recording for 1 person. For another person, we found out-of-date PRN protocols kept in their medicines file”
minor“their eye medicine (drops) was stored in their medicines cabinet while it should have been stored in the fridge, as stated on the package.”
communication with families
1 finding
minor“There were recent changes in management at the service when new scheme managers were recruited. This proved to be difficult for some relatives as it impacted on the communication.”