Working at Lindau Residential Home

Medicines stock counts do not match records so some tablets go unaccounted for, and no one checked bowel charts before deciding on laxatives for constipation.

stock counts of people’s medicines did not always balance with the records held. This meant there were medicines that were unaccounted for... There was no oversight of bowel records

Audits missed key problems like gaps in staff files, medicines issues, and constipation risks that led to regulatory breaches.

The audits were not always robust enough to highlight and manage shortfalls in the service. For example, audits of staff files had not detected issues with missing information, medicines audits had not identified the medicines concerns

Staff files are missing full job histories and interview notes, even though other checks were done.

not all staff files contained a full employment history and reason for gaps. Interview records had not been retained