Working at Moulsham Home

Managers checks and audits missed safety issues like unreported accidents, unsecured wardrobes, and gaps in mental capacity paperwork.

Governance processes required improvement. Whilst checks and audits were in place, they were not effective in identifying the concerns found during this assessment.

Accident reports were not always sent to safeguarding teams or regulators, medication records had mismatches and missing signatures, and some mental capacity authorisations were overdue.

not all accidents or incidents had been reported appropriately to the relevant safeguarding authority or CQC... reconciliation issues where the count recorded did not match the contents and handwritten medicine administration records (MAR) did not always contain 2 signatures... applications had not been sent for authorisation, we also identified that some applications had been sent after the authorisation had expired.