Working at Lathbury Manor Care Home

Managers' checks missed some risks like garden objects and medicine problems because audits are not fully reliable yet.

Systems and processes to ensure management oversight required embedding into practice. Improvement had been made to audits, however not all concerns had been identified prior to the inspection.

Staff numbers are assessed as enough but deployment is poor, leaving people who might fall alone in lounges.

we observed that staff were not deployed sufficiently. For example, we observed people at risk of falls being left unattended in communal areas.

Medication errors happened with one person missing doses and not all injuries or causes were recorded.

One person had not been receiving their medicines as prescribed... not all injuries or potential cause for the injuries had been recorded.