Working at St Bernards Residential Care Home Limited

Medication safety issues like unlocked thickeners people could grab and missing instructions for creams put residents at risk.

More than 10 tubs of prescribed thickening powder were located in an unlocked cupboard in the dining room. The powders were stored alongside other drinking powders such as hot chocolate and were accessible to people which was unsafe.

Managers' audits and checks missed safety problems like poor medicine handling and fire risks.

Audits of people's medicines had not identified the concerns we found and not all aspects of medicines were checked.

Training gaps on fire drills left some staff unsure what to do in a fire.

Five staff members could not recall attending fire drills and records of completed drills did not evidence which staff had attended.