moderate“Risks to people with specific medical conditions were not always identified... there was not always enough detail in care plan to reduce risks to people.”
medication management
1 finding
moderate“PRN protocols were in place where appropriate, however, did not always include instructions for staff to follow to administer varying doses of medicines.”
staff training
1 finding
minor“Staff had not completed end of life training at the time of inspection.”
end of life care
1 finding
minor“Staff had not completed end of life training at the time of inspection. We discussed this with the manager who said they would look into arranging training”
record keeping
1 finding
minor“one record had gaps in the employment history. We spoke with the registered manager, who escalated this to the relevant department.”
incident learning
1 finding
minor“There was not however, a clear documentation trail reflecting this. We discussed this with the registered manager who advised they would implement this going forward.”
supervision appraisal
1 finding
minor“Due to being, a newly returned from dormancy service, this had not yet been completed, however the registered manager was knowledgeable of the importance of regular supervisions”
leadership
1 finding
minor“People were not always clear who the registered manager was... stated they were not aware of the name of the registered manager or how to contact them directly.”