moderate“risk management plans were not always in place where risks had been identified. For example, a risk management plan for the use of a catheter had not been developed”
medication management
1 finding
moderate“the strength of some medicines was incorrectly transcribed and none of the MAR sheets were signed by staff who transcribed the information.”
record keeping
1 finding
moderate“People's care plans were not always up to date, and some risk assessments had not been completed. People's medicine records were not always accurate or fully complete.”
governance
1 finding
moderate“Quality assurance tools had not always been effective at identifying shortfalls and ensuring improvements were made.”
staff competency
1 finding
moderate“one staff recruitment file did not have a reference from the staff member's last employer. Recruitment records did not show satisfactory evidence of conduct”