Piper Court

We carried out this assessment to follow-up concerns relating to medicines management, staffing levels and the environment. We also followed up the breach of regulation relating to good governance identified at the last inspection.

There had recently been a high number of medicines related errors. These had reduced significantly due to the provider’s actions. As a result, the provider had developed bespoke guidance around reporting medicines errors to provide staff with clarity about what incidents to report.

There were sufficient staff to meet people’s needs and new staff were recruited safely.

The environment was safe, and records showed action was taken to address any issues identified. The home was clean and tidy throughout.

Safeguarding concerns, incidents and accidents were reported to the local authority and investigated.Safeguarding concerns, incidents and accidents were analysed monthly to help identify trends and learning. The recording of the findings from the analysis would benefit from more detail.

The provider has a structured approach to quality assurance. Some audits had not been completed consistently. The provider had identified this issue, and an action was in place to bring all audits in line by the end of April 2025. More in-depth medication audits were being completed due to the current increase in medicines incidents. Staff gave positive feedback about the culture in the home and the support they received from management. The manager was changing role to become the deputy manager, and a new manager had been employed.