moderate“temperature checks were not completed or recorded in medicine cabinets. One person received liquid medicines which could not be stored over a certain temperature.”
consent capacity
1 finding
moderate“people's records did not always contain an assessment of their capacity. Where decisions had been made in people's best interests...these were not always being recorded fully.”
record keeping
1 finding
moderate“There were no records to show the rational for these decisions, no mental capacity assessments to show that people did not have capacity to manage their medicines.”