critical“Multiple medicines were missing from the medicines administration records. These included one regular medicine for one person, homely remedies and creams.”
critical“Prescribed thickeners were not always being recorded. We could not be sure they were being used as prescribed.”
governance
2 findings
moderate“A Medicines audit was completed but only basic information was recorded and did not always identify medicines errors.”
moderate“The provider's systems to assess, monitor and improve the quality of medicines management had not identified and addressed these issues.”
record keeping
1 finding
critical“The provider had not maintained accurate and contemporaneous records in relation to medicines administration.”