Working at Pemberton Fold

No permanent manager in place, so leadership feels unstable and oversight is limited.

At the time of our inspection there was not a registered manager in post. A manager was in post at the time of this inspection but later left. Oversight of the service from the provider had been minimal.

Medication records have gaps and stock errors, plus personal risks are not assessed properly.

We found gaps in the recording of medicines administration. There were also discrepancies in the stock levels held by the service and balances recorded... Risk assessments on electronic systems were generic; individual risks and measures to mitigate these risks were not documented.

Not all staff have up-to-date refresher training.

Staff training was documented on a matrix, although some elements of refresher training were not up to date for all staff.