moderate“no audits were in place to monitor accidents and incidents to establish if trends or themes were happening that needed to be addressed or lessons to be learned”
minor“their views were not always analysed to give direction of where improvements could be made.”
incident learning
1 finding
moderate“they were not consistently monitored to identify lessons learned, themes or trends. The registered manager acted during the inspection to address the completion of records”
record keeping
1 finding
minor“Recruitment systems and processes were in place however some records were not consistently completed with required information.”
medication management
1 finding
minor“We found two medicines that did not have the protocols in place. During our visit the registered manager completed the relevant missing protocols.”