Working at Crown House Care Home

Big safety risks from poor medication handling like missing records, no checks after painkillers, and accepting verbal dose changes from doctors.

significant number of issues around the recording of medicines... no record of where the person was experiencing the pain... no follow up check... staff had been accepting these verbally over the telephone from the GP surgery

Lots of staff missing key training for tasks like blood sugar testing, health and safety, and mental capacity decisions.

Staff had undertaken blood sugar finger prick tests... without sufficient training or competency assessment... None of the staff employed at the service had evidence... Mental Capacity Act training.

Management missed major problems because audits were poor and there was weak oversight of risks and care quality.

The management team failed to complete effective audits and quality assurance processes to ensure care provided was safe... Where audits were completed, we identified significant shortfalls... failed to identify the widespread and serious concerns