moderate“The provider's audits and checks to monitor the quality and safety of the service did not always identify some recording shortfalls. These included some medicines, staff and consent records.”
medication management
1 finding
minor“Medicine records were not always clear and did not follow the medicines policy. Recording issues were discussed with the registered manager and addressed immediately.”
governance
1 finding
moderate“Some audits were not always effective as they had not identified some recording gaps such as medicines anomalies, recruitment records and communication needs.”
consent capacity
1 finding
minor“Some records did not record whether relatives had the legal status to make decisions on behalf of people if they lacked capacity.”
communication with families
1 finding
minor“People's communication needs were not always clearly outlined in the care files and alternative methods of communication to support people were not always explored.”
staff training
1 finding
minor“A training matrix was in place to record and manage staff training although this was not effective at identifying future training needs.”