Working at The Fountains Care Centre

Staff sometimes gave medicines without checking with the doctor or pharmacist and did not double-check handwritten records.

A staff member gave a person two medicines mixed in water; the staff member could not confirm this was safe. A staff member had handwritten medicine on an administration record without a second member of staff checking the prescriber's instructions were recorded correctly.

Staffing gets too low sometimes especially on weekends or due to sickness causing delays, and rotas come out too late making some shifts short-staffed.

People told us there wasn't always enough staff, resulting in waiting longer for support. Staff told us there could sometimes be less staff due to sickness, making it harder to meet people's needs. Rotas were issued at short notice... leaving some shifts well-staffed and others not.

Managers do not hold regular one-on-one meetings with staff for feedback and development.

Records showed that managers did not regularly and consistently support staff in reflecting on their performance and improving their practice through supervision.