moderate“The services medicines policy did not reflect the service provided, this meant that staff did not have a framework for safe medicines management.”
moderate“Medicines audits of daily administration had been completed however audits on wider medicines management had not been completed since March 2023.”
governance
1 finding
moderate“Regular audits of the quality and safety of the service did not always take place as required. When these did take place there was occasional inconsistencies and gaps in records.”
communication with families
1 finding
minor
“One person felt that the management were not as proactive as they would like and felt that they had signed up to a different package to what was being delivered.”