moderate“items of medication which was prescribed for the person to be taken 'when required' had not been entered onto their MAR sheet”
minor“At times these were brief and did not reflect the service being provided. We discussed with the provider the benefits of keeping more comprehensive records.”
minor“Records of visits to people by senior staff were very brief. We discussed with the provider the benefits of maintaining a more comprehensive record.”
governance
2 findings
moderate“checks to monitor the quality of the service however a record detailing what checks had been carried out and the outcome of them was not always maintained”
moderate
“We tried to contact the provider to advise of the start date of our inspection on several occasions over a period of five weeks and were unable to make contact on the majority of these occasions.”
medication management
1 finding
moderate“items of medication for one person had been handwritten onto the persons MAR but had not been signed by two members of staff to ensure the accuracy of the information”
care planning
1 finding
minor“tick boxes were used to indicate a particular area of need, however there was little information describing how the need was to be met”
person centred care
1 finding
minor“there was no formal process in place to capture people's feedback”
staff training
1 finding
minor“Not all of the training staff had undertaken was clearly recorded, we discussed with the provider the benefits of recording all training and awareness sessions staff undertook.”