Working at White Rock Nursing Home Limited

Management oversight is weak because quality checks missed problems like unreported choking and medicine issues.

quality assurance processes were in place... systems and processes were ineffective and had not identified the shortfalls we found at this inspection

Safety has gaps like choking incidents not formally reported and medicine storage with wrong temperatures and generic plans.

choking episodes had not always been reported as incidents... shortfalls in medicines management processes and oversight which included inconsistencies noted around temperature monitoring, the use of generic rather than personalised protocols

Some environment risks like unlocked stair gates and cleaning chemical access were not managed well.

we observed the use of stair gates... were not always secure... sluice room was not always locked, which meant that cleaning chemicals were not always safely locked away