moderate“Records were not always up to date and accurate. The provider's systems for monitoring the quality of the service had not identified these shortfalls.”
medication management
1 finding
moderate“some medicine administration records did not accurately reflect the medicines that were prescribed. Discrepancies had not been identified through the provider's quality assurance systems.”
governance
1 finding
moderate“There were management systems in place to assess, monitor and improve the quality of service people received. However, these were not always effective and had not identified concerns found by the inspector.”
incident learning
1 finding
moderate“There was no system in place to provide an overview that would support analysis of patterns or trends across the service. This meant opportunities for making improvements and learning could be missed.”