Working at Cromwell House

Medicines often not given correctly with missed doses and stock mismatches not fixed, putting people at risk.

Medicines records showed that some people missed doses of their medicines because they were asleep. For one person, this had happened 47 times in a 26 day period. There were discrepancies in medicines stock counts.

Overseeing the home was weak, audits missed big problems like unsafe medicines and poor risk checks.

Quality assurance systems and service oversight was not always effective. The provider took action when prompted by our findings.

Recruitment records had gaps for some staff, and busy times like after meals mean slower call bell responses.

We found gaps in the employment records of 3 staff working at the service... it does generally take them longer to answer [call] bells particularly after mealtimes.