Working at Redcote House Residential Care Home

Medication records are incomplete for drugs used to calm distressed people and risk assessments are missing when dangers are spotted.

Medicines were used regularly for minimising people’s distress without recording appropriate processes to ensure they were used proportionately and as the last resort. Risk assessments were not carried out when risk had been identified

Managers do not track incidents or improvements effectively, so safety and quality issues drag on.

Governance systems were not effective and did not record actions taken to improve the safety or quality of the service.

Staff recruitment skips proper checks on work history gaps and new staff inductions are not always completed.

We checked 3 staff files which all had gaps in their employment history with no explanations. Although training relevant to their role had been completed by most staff, we found inductions for new starters were not always completed