Working at Sundial Cottage Rest Home Ltd

No permanent manager in the day-to-day role, only a temporary team, and systems to check care quality are not working well enough.

the registered manager had recently resigned and whilst still registered, they were no longer in post... The governance systems in place were not being effective at identifying and resolving all of the areas where the safety and quality of the care being provided was compromised.

Medication errors like missing records and giving meds the wrong way, plus risks like choking or falls not always handled properly.

We reviewed the medicines administration records (MARs) for August 2022 and found five occasions where there was a gap in MAR... Whilst there was no evidence that this had caused any harm, there was an inconsistent approach to managing some of the risks to people's health and wellbeing.

Recruitment checks incomplete for some staff, like missing full work histories and no risk assessment while waiting for background checks.

Some of the required records to support safe recruitment were not in place. For example, two staff did not have a full employment history and there was no risk assessment in place for a staff member who had started prior to their DBS being returned.