Working at Bury Lodge Care Home

Staff training is out of date for basics like moving people safely and fighting infections, and missing specialist training for diabetes even though residents have it.

Mandatory updates of training in for example manual handling and infection control were not up to date... staff had not received any training in this area [diabetes].

Medication errors like missed doses of antibiotics and painkillers, unsigned records, and wrong storage make safety unreliable.

Some staff had not been administering people's regular prescribed medicines... missed a total of eight doses. We also saw four people had not received their medicines due to lack of stock.

Poor management oversight as quality checks and audits missed problems like medicine errors and weak risk assessments.

Quality assurance checks were not effective and did not identify issues we found. Audits... showed no actions to be taken. However, we identified several issues such as poor practice in medicine administration.