Working at Bradeney House Nursing & Care Home

Not enough staff at times and no tool to plan how many are needed, so residents calling for help go unanswered.

We saw no evidence of a staff dependency tool being used... We observed one service user calling out in distress for help, however no staff were around to hear the person calling out.

Medication problems like wrong stock counts, no notes on why as-needed meds given, and bad storage putting residents at risk.

We found a discrepancy in stock counts... Where people were prescribed ‘as required’ (PRN) medication for anxiety, staff had not recorded the reason... nutritional supplement drink had been opened. However, there was no recorded date of opening.

No proper checks or audits on meds, safety, or infection control, so issues pile up unnoticed.

During our inspection we found no medication audits had been completed... Environmental and infection control audits failed to identify the concerns we found during this assessment.