Working at Bay Tree House

Medication handling has serious problems like unsafe storage, gaps in records, and wrong doses given, risking harm to residents.

Medicines management did not consistently meet best practice. For example, medicines were being prepared in a busy thoroughfare... numerical discrepancies and gaps in MAR charts... a medicine had not being given as prescribed.

Sometimes only two staff on shift, not enough to safely help everyone in an emergency like a fire.

There were times when only two staff were on shift causing concern that there would not be enough staff to assist people in the event of a fire for example. Several people would require two staff to assist them.

Quality checks by managers missed big safety issues like medication problems.

The provider's quality assurance system had failed to maintain a consistently safe and high-quality service... medicines audits had been completed however these had not identified the medicines concerns found at this inspection.