moderate“Medicine administration records were in place but there were errors on some records. This meant people were at risk of receiving an incorrect dose of medicine.”
minor“Some records for 'as and when required' medicines were not in-line with best practice guidance.”
incident learning
1 finding
minor“Not all opportunities to learn from incidents had been taken. There had been minor incidents where action could have been taken to prevent them reoccurring.”
record keeping
1 finding
minor“Not all lessons learnt had been documented, although the registered manager and staff demonstrated how improvements had been put in place following incidents.”