moderate“records showed that on occasion, the required four-hour gap between doses was not always adhered to although the calls were scheduled four hours apart.”
minor“When people were prescribed topical creams and required support from staff to apply them, records were not always in place to record the administration of the creams.”
record keeping
1 finding
moderate“records to evidence the support provided to mitigate risks, were not always robustly completed, such as repositioning charts.”
consent capacity
1 finding
moderate
“one person had been assessed as lacking capacity to consent to their care, but there was no best interest decision recorded.”