moderate“the provider had no formal procedures in place to audit medicines records charts... this was not documented. There was also no overview of accidents and incidents.”
record keeping
1 finding
moderate“some checks had been happening but were not always recorded... no overview of accidents and incidents. The registered manager reassured that only a small number occurred however this information was not available to us”
medication management
1 finding
moderate“the provider had no formal procedures in place to audit medicines records charts. The registered manager told us they checked these records on a regular basis... they appreciated this was not documented.”
incident learning
1 finding
moderate“There was also no overview of accidents and incidents. The registered manager reassured that only a small number occurred however this information was not available to us to view.”