Working at Adam House

Safety processes have gaps like poor risk details and medication errors with outdated creams and insecure storage, so not a strong safety workplace.

Necessary risks assessments relating to people’s health and potential risks were not always as detailed as they needed to be... Medicines and topical creams were not always safely managed. We found one cream in stock that had been discontinued in September 2025.”

Enough staff overall but agency covers nights, lots of new staff, sickness and overtime leave people tired and stretched.

Agency staff was being used to help ensure staffing levels were consistent, mainly at night... relatives noted that there had been a lot of new staff... One staff member told us, “Most of the time there’s enough staff. There’s a lot of sickness and some people do an awful lot of hours and they’re tired.”

Leaders supportive but fail to fix recurring issues like poor audits and oversight, so no strong drive for continuous improvement.

Governance and oversight needed to be improved. There was not always a culture of continuous improvement as some concerns from our last inspection remained unresolved... Multiple audits had failed to drive improvement.”