Working at Ashdown House

We reviewed medication administration records (MAR) for three people and found these did not correspond to the amount of medicine tablets remaining in the packet. This meant people had not taken or received their medicines as prescribed.

Not all staff felt they could speak openly with the registered manager and felt concerns were not dealt with in confidence. One staff member said, “I am able to raise concerns with the manager but there is no visible change.”

Staff told us there wasn’t always enough staff on shift. A staff member said, “We need more staff, so someone is always on the floor. Sometimes I walk into dining area and there is no one there.”

People were placed at risk of harm as not all staff had received training in moving and handling. Records showed staff had supported people with their moving and handling needs without the required training.

Not all staff spoke positively about the support they received from the registered manager. The registered manager had been absent from the service for a period where senior staff had stepped in to run the service.