moderate“guidance for staff to administer as required (PRN) medicines was inconsistent. There was not always a PRN protocol in place”
moderate“Body maps and guidance documents were in place but these had not always been completed. Where people were using prescribed creams, information on how much cream, where and how often to apply was not always in place”
governance
1 finding
critical“The providers quality assurance systems and processes did not always operate effectively. Audits had not identified the shortfalls found during the inspection”
care planning
1 finding
moderate
“People's care plans were not always completed consistently. Some care plans were lacking in detail which may mean people did not receive their care and support in ways they preferred.”
record keeping
1 finding
moderate“People had risk assessments, but these were not always completed consistently or in enough detail to guide staff effectively.”
complaints handling
1 finding
moderate“there was not a process to review and analyse the complaints to enable lessons to be learned.”