critical“we found two of the examples of unexplained bruising that had been recorded and reported to the local authority, but information had not been shared with CQC, where this was notifiable.”
moderate“some aspects of the provider's governance systems required improvement to ensure processes in place were robust to identify and drive improvement.”
record keeping
1 finding
moderate“audits of people's care records failed to identify our findings where records relating to people's moving and handling risks were incomplete or there were inconsistencies in completion of the provider's assessment tools.”
medication management
1 finding
moderate
“Medicines audits did not identify our findings in relation to PRN protocols, consistency in MAR recordings or records relating to the application of transdermal patches.”