Working at Blenheim Court Care Home

Medication errors like too-frequent painkillers on 18 days and missing guides for as-needed meds mean safety risks in daily work.

One person was prescribed 2 paracetamol every 4 to 6 hours, records showed there was not always a 4-hour gap between administrations. This occurred on 18 days in April and May 2025. Some ‘when required’ medicines did not always have protocols in place.

Recruitment missed checks on past jobs and reasons staff left them, so you cannot be sure all colleagues are suitable.

The provider had not completed all the required pre-employment checks prior to recruiting staff to ensure only appropriate staff were employed. They had not sought satisfactory evidence of conduct in all relevant previous employment nor verified why the staff members' employment in those positions had ended.

Managers did not spot or fix risks like poor risk assessments and medication issues before the inspection.

The provider did not operate effective quality and risk monitoring systems and had not identified the shortfalls we found. They had therefore not taken prompt action to reduce the risk these shortfalls posed to people.