moderate“When people had 'as required' (PRN) medicine prescribed, there were no PRN protocols in place to advise staff on when the medicine should be administered.”
minor“People's medicine administration records (MAR) did not always record a consistent code to identify when a relative had administered a medicine.”
record keeping
1 finding
moderate“1 person did not have a detailed risk assessment which included how they presented during periods of anxiety or distress and the strategies were not person centred.”
staff competency
1 finding
critical
“1 staff member's DBS check did not include working with children. Another staff member did not have a DBS check to work for Royton Limited.”
governance
1 finding
moderate“Systems and processes to ensure good management oversight required embedding into practice.”