Dolphin View Care Home

Medicines administration and storage had improved. The manager carried out regular checks and acted when standards were not maintained.

“Medicines administration and storage had improved.” from the report

Staffing levels were considered safe. The home had reduced its reliance on agency staff and sickness levels had reduced, helping with continuity of care.

“The provider had reduced its reliance on agency staff recently and sickness levels were low, meaning people received a better continuity of care.” from the report

People, relatives, staff and outside professionals described a calmer and more supportive culture under the new home manager.

“The atmosphere and morale was improved.” from the report

The home offered a range of activities and had developed links with local organisations and groups.

“Activities planning and delivery had improved.” from the report

Some risk assessments were missing or not suitable to explain people's individual risks. Some necessary safety observations had also not been completed or recorded.

“Risk assessments were not always fit for purpose, for instance lacking person-centred information to enable staff to fully support people and reduce risks.” from the report

Audits identified some issues but actions were not always completed. The systems did not reliably identify and reduce risks to people's health and safety.

“Systems had not been established to effectively assess, monitor and mitigate risks to the health, safety and welfare of people using the service.” from the report

Care records varied in quality, were not always updated promptly and did not always contain enough useful personal information.

“Records were not always updated promptly. They contained gaps and did not always contain enough useful person-centred information.” from the report

Staff had not had regular supervision for over a year under the previous manager, and formal learning after incidents was not effective or consistent.

“Learning had not always been shared appropriately or embedded after incidents.” from the report