moderate“audits of MAR charts were not always effective at identifying where records required improvements. We found examples of where staff had not always completed MAR chart records in line with good practice.”
record keeping
1 finding
moderate“The provider's accident book did not record details for a relevant incident and not all records were disposed of in line with the provider's policies.”
governance
1 finding
moderate“Records for medicines administration and governance and oversight arrangements were not always fully complete. The provider's policy framework was up to date and comprehensive, however not always fully embedded and followed.”
staff competency
1 finding
minor“the provider was also required to complete medicines competency checks for staff... However, records to support this were not robust.”
leadership
1 finding
minor“Staff did not consistently report to the registered managers the results of their COVID-19 weekly tests... This meant the registered managers did not have oversight of the testing staff were expected to complete.”