St James Court

“We found 2 breaches of the legal regulations in relation to safe care and treatment and good governance at the service.”

“We found risks to people as a result of their medical conditions, or prescribed medicines were not routinely and consistently assessed or mitigated. This meant staff did not always have guidance on how to mitigate risks to people.”

“We found improvements were required to ensure medicines were managed safely. We found handwritten medicine administration records did not routinely record who had written the record or if it has been checked for accuracy by a second person as a good practice.”

“We identified areas for improvement relating to emergency preparedness, including emergency equipment readiness and fire safety training arrangements.”

“Governance systems were in place; however, they were not always effective in identifying and addressing the concerns found during this assessment.A registered manager was in post however; they were not based at the location. A manager provided oversight to the service; however, systems were not effective in driving improvement. The provider failed to ensure their policies were followed by staff. The provider expected a number of audits to be carried out over a 12-month period. However, we found this was not the case. The manager told us the only audit which was carried out regularly was a medicines audit. The medicines audit had failed to highlight the concerns we identified about medicines management.”

“We have asked the provider for an action plan in response to the concerns found at this assessment.”