Working at Boars Tye House

Staff sometimes miss giving people their meds, like Parkinson's drugs for days which risks falls and stiffness.

One person told us they had not received their medicine for almost a week. When following this up we identified another person had missed their time critical medicine for Parkinson's for three days.

Managers do not spot risks or problems like missed meds and unreported incidents in their checks.

Systems and processes had failed to identify that not all risk's to people's safety and well-being had been identified and mitigated... Incidents of potential abuse had not always been reported in a timely manner.

Staff skills checks for giving meds are overdue and there is no specialist training for complex needs like Parkinson's.

we found nearly all staff 's medicine competency assessments were overdue... there had been no specialist training for staff to enable them to support people with more complex needs. For example, Parkinson's.