moderate“'when required' prescribed medicines were administered; the reason was not recorded on the MAR but in the daily notes. Handwritten entries did not have a second staff signature.”
infection control
1 finding
minor“We noted a staff member wearing jewellery and long false nails. This posed an infection and safety risk and we raised this with the registered manager.”
consent capacity
1 finding
minor“They had relied upon external health and social care professionals to undertake MCA assessments and best interest decisions.”
record keeping
1 finding
minor“MAR were not consistently dated, and codes used to record such as 'refusal' were not consistently completed.”
communication with families
1 finding
minor“Feedback from two professionals reported documentation and communication in some instances could be better.”