Working at Cherrybrook House

Medication records sometimes miss double-checks by two staff on handwritten doses, and pain relief plans do not always cover risks from multiple drugs.

handwritten MARs were not always signed by two members of staff to confirm dosage instructions had been transcribed accurately. When people were prescribed medicines on an 'as required' basis, protocols were in place to inform staff how and when to administer them; however, these did not always reference the process for administration of multiple pain management medicines to reduce the risk of overdose.

Risk details in care plans are not always clear and consistent, so staff might miss key info on daily support.

Managers identified, assessed and recorded risks. However, these risks were not always recorded clearly and consistently in care plans to enable staff to have a clear understanding of people's individual risk.

Staffing levels meet basic needs with enough on shift, but no details on stable teams, low staff turnover or minimal agency cover.

The registered manager ensured there were enough staff to meet people's needs and keep them safe.