Working at St Mary's

Medication handling has gaps like no clear guidance for as needed doses and poor records for hidden meds, making it unsafe for staff.

Where people were prescribed 'as required' or variable dose medicines, clear guidance was not always recorded... Three people were being given their medicines covertly [disguised in food or drink] and appropriate documentation was not in place for this to be carried out safely.

Managers do not always spot trends or discuss ongoing concerns in meetings, so the same problems repeat.

Themes and trends were not always identified through the provider’s systems currently in place. Staff meetings took place. However, outstanding concerns were not discussed.

Only basic mandatory training is done with gaps in specialist skills like catheter care.

staff had not received catheter care training, one person's appraisal mentioned they would like to be more up to standard with catheter care.