moderate“It was not always recorded what action was needed to support people with medicines that were prescribed to be taken 'as required'.”
critical“There had been two incidents in the previous month in which staff had supported people to take the wrong medicine.”
record keeping
2 findings
minor“There was one occasion when additional calls had been scheduled for a person which were not provided due to a communication error.”
minor“Records did not always support this practice. We recommended that any decisions made on behalf of a person was done so, and documented, in line with the Mental Capacity Act 2005.”
care planning
1 finding
moderate“The care plan was not clear at what point the medicine should be administered or that the medicine should be taken with them if they went out of their home.”
consent capacity
1 finding
minor“Documentation showed people's capacity to make decisions had been considered but the information did not clearly show the principles of the MCA had been followed.”
safeguarding
1 finding
moderate“Whilst staff had completed safeguarding training, this did not include information about children. This was despite some staff working with two people under the age of 18 years.”