moderate“We found gaps on a Medicines Administration Record for September 2019 used to show when people were supported with their medicines.”
moderate“Medicines given 'as and when' needed did not have in place PRN guidance to ensure consistency between care staff.”
governance
1 finding
moderate“The provider did not ensure appropriate governance was followed as records had a different provider name on care records.”
staff competency
1 finding
moderate“The supervisors who supported care staff were not having their competency checked regularly.”
staff training
1 finding
minor“The registered manager told us care staff did not receive any training in end of life care.”
end of life care
1 finding
minor“Care records did not show how people wanted to be supported at the end of their life as this information was not being gathered.”
care planning
1 finding
minor“Only religion and culture were being considered on people's care records. This meant where people may have other protected characteristic this information was not considered.”
record keeping
1 finding
moderate“The MAR did not clearly define that all tablets were given.”