moderate“Some MARs did not have all information required, for example, the route of administration of medicines or the strength.”
critical“There were no appropriate risk assessments in place to guide staff on the significance of these risks and how to minimise them.”
record keeping
2 findings
minor“When the registered manager communicated with external professionals, they did not always record these conversations for future reference.”
minor“When the provider approached referrers by phone, they have not always documented it. Therefore, it was not always clear how references were obtained.”
medication management
1 finding
moderate“The provider did not always communicate with respective professionals, GP or pharmacists, to confirm what medicines were prescribed to people.”
consent capacity
1 finding
critical“The provider had not completed mental capacity assessments to check whether people could make decisions about their care.”
governance
1 finding
moderate“Improvements around MCA were generalised and did not reflect specific issues and actions around gaps identified by us during our visit.”