Working at Chetwynd House

Staff gave out expired medicines like eye drops and liquids and missed details on high-risk drugs, so it's not safe enough for unhurried care.

We observed eye drops being administered after their expiry date, an expired liquid being administered, and an insulin pen... with no opening date recorded. Care plans did not always include detailed information on how to support people with their medicines.

Managers' audits and checks keep missing repeated medicine problems, so risks aren't spotted before they affect people.

the quality monitoring audit did not identify these concerns... the management team and provider had not identified some of the repeated concerns identified on the previous assessment.

Lessons from medicine mistakes aren't shared well with all staff, and training only happens if you're involved in an incident.

Staff trained to administer medicines told us that lessons learned had not be communicated with them... staff said the provider spoke with them only about specific incidents and did not provide training unless they were involved in an incident.