Working at Notts Hill House

Staff sometimes miss giving important medicines like eye drops and fail to record food and drink intake properly, so safety feels unreliable day to day.

one person's eye drop medicine to treat glaucoma had not been administered since 28 January 2023... Monitoring charts... showed 19 days where food intake had not been recorded and 12 days where fluid intake had not been recorded.

Heavy use of agency staff means shifts are covered but teams lack stability and can't do as many activities.

they have had to rely on agency staff, particularly over the last couple of years... high levels of agency used at the service had impacted on the activities they were able to provide.

Bosses' checks and audits miss problems like outdated care plans and risks, so issues build up without quick fixes.

Governance systems and processes had not identified that records were not always accurate or up to date... Audits and checks of medicines administration records had not identified that staff were not giving one person's medicine as prescribed.