Working at St Cyril's Neurological Care and Rehabilitation Service

Medication handling is unsafe with errors in doses, timings, allergies missed and poor storage risking serious harm to residents.

The management and administration of medicines was unsafe which increased the risk of medicine related harm.

Risks to residents like choking, falls, pressure sores and unsafe equipment are not managed well so shifts feel risky.

People’s needs and risks were not adequately assessed or managed. Appropriate risk management plans were not always in place for known risks.

Only basic mandatory training with gaps in inductions, supervision and care staff lacking basics for specialist needs like feeding tubes.

Induction, supervision and appraisal systems were not effectively implemented to ensure good staff practice and support.