moderate“The provider had not always ensured risk assessments were in place for all identified risks. Some records did not set out enough information for staff about how to mitigate risks to people.”
medication management
1 finding
moderate“Medicine records were not always completed correctly and this was not always identified by management checks...failure to identify errors had placed people at risk.”
governance
1 finding
moderate“No formal medicines audits were taking place. The provider's medicine policy described the audit procedure, but we were told by the manager these audits had not been conducted.”
record keeping
1 finding
minor“Some care plans contained more information about people's likes, dislikes and preferences than others.”
communication with families
1 finding
minor“People did not regularly receive rotas to inform them which staff would be visiting. A relative said, 'It would be nice if [my family member] had a rota so they knew who was coming.'”