8 October 2013
During a routine inspection
We spoke with two members of staff, who were on duty. We found that they had a good understanding of their roles and responsibilities. They demonstrated they knew how to identify and report potential incidents of abuse.
We also gathered evidence of people's experiences of the service by looking at a selection of records. This included care records and medication records. They demonstrated that people had given consent to the care they had received. We found that the needs of people had not always been fully assessed prior to admission. We found that care records did not always provide nursing and care staff with appropriate information to follow with regard to the delivery of care. This meant that individual needs may not have been met.
We found that there were gaps in medication records. This meant people may not have received medication that had been prescribed to them. The manager was unable to demonstrate, where dosages of medication had been changed, that unused medication had been disposed of safely.