moderate“Guidance for staff around administering 'when required' (PRN) medicines, was not in place. This is not in line with best practice or the providers own policy.”
record keeping
1 finding
moderate“MAR charts did not include stock numbers, application instructions for the use of topical medicines were missing, and variable dose medication was not recorded to indicate quantity given.”
governance
1 finding
moderate“Medication audits had been developed to review the administration of medicines. These were not effective in highlighting gaps in recording or where 'best practice' was not followed.”
care planning
1 finding
minor“These were then further developed to reflect people's preferences and include person centred details. These were not always done in a timely manner following admission.”
other
1 finding
minor“Safety checks had been implemented and recorded for the office location however fire risk assessments and fire drills were not in place.”