moderate“one person with moving and handling needs without having clear risk management guidelines recorded in their care records”
medication management
1 finding
moderate“it was not clear which side effect related to which medicine”
governance
1 finding
critical“the provider was conducting a range of audits, these did not identify the issues we found in relation to people's care records”
record keeping
1 finding
moderate
“information relating to risks to people's health and safety was spread across different documents and not always contained within their risk assessment”