Working at Avon Lee Lodge

Medication safety has gaps like no guidance for as-needed drugs and audits missing problems.

There was not an “as required” (PRN) protocol process in place, or guidance for staff on what steps to take regarding PRN medicine.

Managers checks are not strong enough and missed issues like mental capacity paperwork and accident reviews.

The provider’s processes for assessing people in accordance with the Mental Capacity Act 2005 were not always robust. Audits were in place but they had not identified the shortfalls identified during this inspection.

Only standard mandatory training with no specialist courses or funded qualifications mentioned.

Staff received mandatory training through a mixture of practical face to face training and on-line courses.