Working at Stoneleigh House

People missed important medications like pain relief and antidepressants because the home ran out of stock.

Nine people missed doses of some of their prescribed medicines for varying amounts of time because there was no stock in the home.

Staff missing training on key areas like mental capacity decisions, end of life care, and first aid.

There was no evidence training was being provided in the Mental Capacity Act, Deprivation of Liberty Safeguards, end of life care or first aid.

Managers do not have good systems to check for problems, so issues like missed medications go unnoticed.

The providers governance processes were not robust, with audits and monitoring not identifying any of the issues we noted during the assessment.