moderate“some information had not been transferred to the electronic records. This meant staff did not always have the most up to date information about some people's needs.”
medication management
1 finding
moderate“some tablet medications were listed as being transdermal, to be placed directly onto the skin.”
governance
1 finding
moderate“Some of the governance systems in place had not been effective in identifying the issues we found on inspection, such as some of the discrepancies in care and medication records.”
care planning
1 finding
moderate“some elements of some people's care plans had not been updated to reflect their needs on the electronic system.”
staffing levels
1 finding
minor“Some people said staffing had been inconsistent. We discussed this with the provider who acknowledged there had been challenges with staffing.”