Working at Springbank Rest Home

Medicines not handled safely, like no system to check people's own medicines match prescriptions when they arrive and creams stored wrongly in bedrooms, plus missing or outdated risk checks for falls and choking.

When people were newly admitted to the service there was no system for checking the medicines they brought into the service matched the medicines they were prescribed. Creams were not stored correctly in people's bedrooms. Some people did not have falls or choking risk assessments. Where people had risk assessments in place they had not been reviewed regularly.

Managers not carrying out audits or regular checks, so problems with medicines, risks and fire safety went unnoticed until inspectors found them.

Improvements were needed with oversight of the service. Lack of quality assurance processes, such as audits and regular checks meant issues which we found during our inspection had not been identified.