Working at Martlet Manor

Medicines and cleaning products left unlocked put residents at risk of harm, and staff missed a choking incident.

Medicines were not kept securely and potentially harmful substances were not stored safely... The person was successful in clearing the obstruction themselves but staff failure to notice their difficulty was a concern.

Lots of agency and new staff mean less continuity and staff not always knowing residents well.

The service had vacant positions and used agency staff... heavy reliance on agency staff... Some staff, who were new to the service, had not received all the information they needed.

Management oversight missed safety risks and dignity problems like laundry issues.

Management systems for monitoring the quality of the service had failed to identify and address these concerns... Systems for monitoring the quality of the service had not identified negative impacts on people's dignity.