Working at Holyrood House

Medication records have gaps like missing times between painkiller doses and missing protocols, plus patterns in falls that staffing or equipment didn't fully prevent.

times when paracetamol had been administered had not always been recorded... some examples of protocols not being used and some not in place... we found trends around people's falls.

Staffing is enough to get care done but shifts feel busy, staff want more for quality time with residents, some agency used, and relatives say some days lack staff.

Staff told us the shifts were busy but there was enough staff. One staff member said, 'There are times where you would like more staff... to spend more quality time with residents.' Relatives shared mixed views... 'Some days there are enough staff and some days no.'

Behavioural incidents and some risks like diabetes support aren't always tracked in one place for easy oversight.

Behavioural incidents were not always recorded in the incidents' matrix... One person's diabetes risk assessment and care plan required further details.