Working at No 19 Respite House

No care plans for epilepsy risks and medicines not stored or handled safely.

There was no care plan or risk assessment in place regarding the management of the person's epilepsy or seizure activity... Medicines management and administration posed a risk to people as systems did not follow good practice... medicines were not being dispensed from their original packaging.

Training gaps for some staff and inductions not fully completed.

The training matrix provided to us identified gaps in the training some staff had received... induction documentation could not be relied upon as this had not been fully completed.

Oversight weak as audits and checks missed safety and risk problems.

Systems and processes to monitor the service were not undertaken robustly. This meant they were not always effective; did not drive improvement and could not be relied upon... did not identify the concerns we found at this inspection.