Working at Strode Park House

there had been numerous medicines errors. The previous 3 inspections had identified shortfalls in the management of medicines, and this continued at this inspection.

Some staff told us they did not always feel supported especially at night or the weekend when the management team were not working. Staff told us they had not had regular supervision to discuss their training needs and practice.

There was no system in operation to determine the number of staff and range of skills required to meet people’s needs and keep them safe.

Staff had not received supervision every 3 months in accordance with the provider’s policy, this included nurses where only 1 nurse had received a clinical supervision. Although staff competencies had been completed, these had not always been reviewed nor was there evidence staff competency had been effectively assessed.

At the time of our inspection there was no registered manager in post.

Relatives told us staff had not always encouraged people to take part in activities, a relative told us, “They are good with looking after their complex needs and do it well. Where they do less well in the social aspect.”