moderate“We found records for the administering of some medicines were not consistently completed. For example, we found gaps in the recording of creams”
moderate“PRN protocols did not always contain the necessary information staff required to ensure people received PRN medicines as prescribed.”
moderate“when staff transcribed (hand wrote) a medicine there was not always the dose or full name of the medicine. This put people at risk of not receiving medicines as prescribed.”
governance
3 findings
moderate“Systems and processes in place to audit medicine records were not effective in identifying the concerns we found on inspection with missing signatures and missing information.”
moderate
“Systems and processes were not always effective in identifying missing or incorrect information within care plans.”
moderate“Systems and processes had not identified the missing training for temporary (agency) staff prior to inspection.”
care planning
2 findings
moderate“strategies were not always clear on what staff were required to do to mitigate risk. For example, when a person was unable to distinguish between hot and cold”
minor“additional information regarding health concerns or specific areas of support would be beneficial to ensure staff understood and could support all care and support needs”
staff training
1 finding
moderate“not all temporary (agency) staff had evidence of training in learning disabilities or understanding autism.”
record keeping
1 finding
minor“People's oral health records required improvement. Records were not consistently completed to evidence support with oral hygiene.”