moderate“one out of the three people's care and support plans we looked at was not up-to-date with correct information about how a person was supported with their medication”
minor“care records did not document whose responsibility it was to organise the servicing of this equipment”
medication management
2 findings
minor“spot checks on staff medication competency were carried out but this was not always formally documented”
moderate“staff were now helping the person with their medicine. Staff told us that they had not reported this change in support to the registered manager”
consent capacity
1 finding
moderate“their knowledge about the MCA was not always embedded. The lack of understanding increased the risk that any decisions made on people's behalf by staff would not be in their best interest”
governance
1 finding
moderate“the care record audit undertaken had not identified that one of the care records we looked at had incorrect information about how a person was to be supported with their medication”
communication with families
1 finding
moderate“not all staff were clear about their responsibility to quickly notify the registered manager when people's care and support needs changed”