moderate“they were not consistently monitored to identify lessons learned, themes or trends.”
governance
1 finding
moderate“there was no recorded analysis or reviews completed in a format to see where improvements to the service could be made.”
medication management
1 finding
minor“recording of protocols for 'as and when' medicines (PRN) needed to be further developed for staff to follow to ensure PRN medicines were given correctly and safely”
record keeping
1 finding
minor
“some of the system had not been fully developed or used to audit aspects of the service.”