Working at The Moors

Not enough staff on shifts, often only four instead of six needed, and one worker did 132 hours straight with no break.

In order to meet the level of people's commissioned support the service required six members of staff... We saw there were only four members of staff on shift... Rotas showed one person was scheduled to work 132 hours straight

Medication handling unsafe with missing rules for as-needed medicines, poor recording, and unexplained stock drops.

When people required medicines as and when (PRN), the correct PRN protocols were not in place... medicines had been administered and had not been signed... unexplained reductions in stock levels

Managers missing oversight on care records, medication checks, and staff hours, so problems built up unnoticed.

There was a lack of oversight of the accuracy of information within care plans... lack of oversight of medicines... The management team did not have sufficient oversight of the staffing of the service