Working at Gateway House

Medication safety problems like inaccurate records, unsafe storage, and infection control lapses such as wrong mask use and poor hygiene make it risky.

Records about medicines were not always accurate so it was not always possible to tell if medicines had been given as prescribed... fridge temperature was not recorded so it was not possible to tell if insulin had been stored safely... some staff did not always wear their face masks correctly... One staff member was seen not correctly disposing of contaminated PPE or decontaminating their hands.

Weak management oversight failed to spot issues with medication, infection control, and water safety risks.

Quality assurance processes needed strengthening and embedding into practice as they had not identified the shortfalls we found at this inspection in relation to medicines, infection control and Legionella.

Staffing is just enough for needs with no info on good retention or low agency use.

There were enough staff deployed to meet people's needs.