Working at Atholl House Nursing Home

Not enough staff at times so residents wait over 30 minutes for drinks or care changes, making shifts rushed and stressful.

We saw people had to wait for drinks or care as staff were supporting other people, in other areas. One person waited over 30 minutes for support.

Medication stock runs out sometimes and no instructions for when to give painkillers only if needed, risking errors.

1 person had not received a medicine they were prescribed as it was out of stock. Another person was prescribed medication ‘as required’ for agitation. There was no ‘as required’ guidance in place for this.

Weak oversight and incomplete audits mean problems like staffing shortages and medication issues are not spotted or fixed fast.

Governance, management and sustainability Score:1 ... Some audits were in place, however they were not consistently completed... This had failed to identify the concerns we have reported upon in ‘medicines optimisation’