minor“Although there had been some minor medicines errors these had been addressed and there were steps in place to reduce the risk of any future errors.”
minor“Two recent medicines audits had identified that one service needed to buy thermometers to ensure medicines were stored at safe temperatures. Although the thermometers were not in place”
staffing levels
1 finding
moderate“There had also been two occasions where a staff member had left people on their own which was unsafe.”
care planning
1 finding
moderate
“Some of the care plans were not written in a person-centred way. For example one plan recorded, 'He cannot cook' instead of staying what tasks the person could do”
record keeping
1 finding
moderate“There was a lack of detailed information about people's health needs. Whilst people received good support with their health needs, we found one person had diabetes... but there was no record of this in their care plan.”
consent capacity
1 finding
minor“Mental capacity assessments were due to be carried out in January 2022.”
person centred care
1 finding
moderate“a goal was written as, 'being able to take instructions in a timely manner' which the person would not have chosen as a goal.”