Working at Burnt Tree Croft

Medication is not always handled safely, with problems like incomplete records for patches and poor storage temperatures putting people at risk.

Records relating to transdermal patch application and rotation were incomplete... Further improvements were required in the safe storage, disposal, and temperature monitoring of medicines. The medicines room was not consistently maintained within the recommended temperature range

No strong oversight systems in place, as audits missed key issues like medication risks.

While audits were being completed, they were not sufficiently robust in identifying key areas requiring improvement. The audits failed to identify the issues we found during the inspection. Medicines audits had not identified several key risks

Staffing levels are enough but there are lots of different faces due to changes, suggesting turnover or agency use.

some people noted frequent changes in staff, with one saying, “I think there are a lot of staff, but we see lots of different faces.”