Working at Oak House

No permanent manager in place, with the current one leaving during the inspection and several recent changes.

The service had four managerial changes since registration and the current registered manager was leaving their position at the time of this inspection.

Not enough staff on duty for the high needs, so workers felt stretched and agency nurses covered shifts.

We identified that staffing levels were not adequate in relation to the high level of need throughout the service.

People missed medicines like pain relief for days due to stock shortages, and staff faked repositioning records.

We found a total of 12 people had not received their medicines due to insufficient stock... staff had entered that they had repositioned the person at 2pm when this was not the case.