Working at Old Rectory (Bramshall)

Medication wasn't always handled safely, like missing protocols for as-needed creams and pain patches not rotated to right spots.

Some 'when required' medicine protocols were not in place and some were lacking in detail. For example, 1 person had a prescribed topical cream that was not on their medicine administration record and there was no 'when required' protocol in place... records did not demonstrate they were being rotated in line with manufacturer guidance.

Recruitment records had gaps such as missing job histories, unclear references, and unverified IDs on new staff.

We identified some gaps in recruitment files during our inspection visit. For example, 1 staff member's recruitment record contained gaps in their application form relating to their employment history and reasons for leaving previous jobs. Also, where copies of identification documents had been made, these had not been endorsed. Another staff member's reference information was not clear.

Training records don't clearly show what's done or overdue, and mental capacity training needs work to be useful.

The provider kept records of training on a matrix, however, it was not clear which training had been completed by staff and what still required completion... MCA training needed improving.