minor“Where we found staff had a good understanding of people's needs, the personalised level of information in people's records did not always reflect this.”
governance
1 finding
minor“The provider had safe recruitment systems in place, however, was not always being followed where gaps in 2 staff's employment history had not been fully explored.”
medication management
1 finding
moderate“Records showed where a medicine error had occurred, which resulted in a person not receiving their pain management as prescribed.”