Working at Abbeywood House

No permanent manager registered yet, even though a new one is in place and applying.

The service did not have a manager registered with the Care Quality Commission at the time of the assessment. A manager had been appointed by the provider to oversee the management of the service. At the time of the assessment, the service had not submitted an application to register the manager with the Care Quality Commission.

Medication errors and gaps in staff checks mean giving meds feels risky.

We found the service was not always following their own policies and procedures which put people at an increased risk of avoidable harm... failed to administer medicines accurately in accordance with the prescriber’s instructions, this placed people at risk of avoidable harm.

Training gaps like poor understanding of legal rules on restricting freedom and no recent skills checks on moving people or meds.

none of the staff we spoke with were able to clearly evidence an understanding of the Deprivation of Liberty Safeguards... limited evidence that the provider assessed staff competence in key areas such as moving and handling and medicines administration.