Working at Cantley House

Medication records had errors like missing details and signatures, and some risk assessments were incomplete, so safety isn't reliable day to day.

Protocols... did not always contain sufficient detail. For example, there was no information about how people may present if their medicines were required. We carried out a sample check of medicine stock and found some anomalies... Some handwritten entries on medication administration records sheet were not double signed. One person accessed the community independently but did not have a clear risk assessment detailing what action staff should take if the person did not return home.

Managers aren't spotting or fixing problems like medication and risk issues quickly enough because of poor oversight.

The provider had systems in place to monitor the quality of the service, but these did not operate effectively. Systems were disorganised and there was a lack of oversight. For example, issues we found during our assessment in relation to medicine management, risk and environment had either not been previously identified or not actioned in a timely way.

Only basic mandatory training in place with no specialist courses for supporting people with learning disabilities yet.

Staff received training in mandatory subjects but had not completed any training specific to supporting people with a learning disability. The provider had identified this and assured us this would take place.