critical“MAR charts did not reflect all the information on the pharmacy label, such as the dosage of the prescribed medicines. Good practice was not always followed when staff transcribed people's medicines instructions.”
record keeping
1 finding
critical“Accurate, complete and contemporaneous records in respect of each person's care and medicines were not always maintained. This placed people at risk of harm.”
care planning
1 finding
moderate“People's records did not have guidance for staff to assist them in managing people's specific health risks safely. This put people at risk of not receiving the appropriate care.”
governance
1 finding
moderate“The medicines audit was not robust enough to identify the concerns related to PRN medicines and transcribing of medicines we have found.”
safeguarding
1 finding
moderate“The provider's quality monitoring processes had not identified that not all safeguarding incidents had been notified to CQC as is required.”