critical“Where prescribed creams were being administered, there was no MAR in place to evidence this medication was being administered as prescribed.”
critical“No MAR had been completed to evidence this support.”
care planning
2 findings
moderate“Risk assessments were in place which identified the risks staff needed to be aware of in order to support people. However, risk assessments did not contain enough information”
moderate“there was not enough detail on how to transfer a person safely.”
governance
2 findings
moderate“The provider's systems and processes for the management and oversight of the service were not consistently effective and had not identified the concerns we found”
moderate“Spot checks on staff had not identified where they were not completing medication administration records (MAR) where prescribed creams were being administered.”
staff competency
1 finding
moderate“Staff received training and regular competency checks to ensure they were administering medicines safely, however, these checks had not identified where MAR charts were not being completed.”