Working at Chadderton Total Care

Staff sometimes miss giving important medicines like antibiotics and painkillers, and medicine cupboards are not always kept locked.

People had missed doses of medicines including antibiotics and painkillers. We saw evidence this had impacted on the people involved. Cupboards containing medicines and related products were not always kept locked when not in use.

Lots of agency staff are used, and their training and skills checks are often missing or incomplete.

some staff, people and relatives commented on the current high use of agency staff on some units and how the quality and competency of these staff varied. The home did not always have important information about agency staff, such as a record of training completion and confirmation they were competent.

Managers' checks and audits are weak and did not spot problems like unsafe medicines in time.

the audits had not identified all the issues we encountered during the inspection. Where issues had been identified, such as with safe storage of medicines, action had not been taken timely.