Working at Glenroyd

Staff did not always turn people at risk of skin sores from lying too long within the right time, which raises safety risks even though no one was harmed.

for some people, who were at risk of pressure ulcers, were not always repositioned within the agreed time to ensure their skin remained intact. While we found people were unharmed due to these delays, it significantly increases the risk of skin damage.

Medication records had gaps and poor stock checks, so it's unclear if everyone got their meds on time.

we found gaps in medicine charts and stock control, so we could not be assured people had received their prescribed medicines. However... there was no evidence anyone had come to harm.

Bosses' checking systems miss key things like turning records and consent forms, so problems slip through.

there were gaps in governance systems where key checks and monitoring activities had been missed. We found some people who needed positional changes... had gone beyond 4 hours and monitoring systems had not identified this. Some people did not have their consent recorded.