Working at Hillbrook Grange

Staff make mistakes giving medication like wrong times, missing doses of pain relief or laxatives, and not applying creams or patches properly.

Medicines which were prescribed to be given at specific times or with specified time intervals between doses were not always given at the correct times... Written guidance... was not always in place... A system was in place to record the application of creams, but we saw that this system had not always been followed... Medicated patches were not rotated... The service did not use stool charts... One person was prescribed a laxative... however, this was not given each day.

Managers do not always spot problems through their audits and checks, so issues like medication errors keep happening.

Audits completed had not always actioned the concerns we found on inspection... The provider had not always ensured full oversight of the operations of the home, leading to the concerns identified on this inspection. This was a breach of regulation 17.

Several staff are behind on refresher training, so skills might not be fully up to date.

the training matrix indicated several staff did not always have up to date/refresher training in place. We recommend the provider ensures staff have completed refresher training in line with their own policy.