Field View

The home had recruited enough staff, reduced its use of agency workers and completed relevant checks before employment.

“The provider and registered manager had completed a review of recruitment and successfully recruited sufficient staff to meet the needs of people.” from the report

Medicines were stored and given safely, and records were completed properly. This was an improvement since the previous inspection.

“Systems were in place to ensure the safe storage and administration of medicines. Medication records were completed appropriately.” from the report

People received enough food and drink in line with their preferences. They were involved in choosing and preparing meals.

“Staff supported people to be involved in choosing, preparing and cooking their own meals in their preferred way.” from the report

Staff knew people well, spoke kindly and helped them make choices about their daily routines.

“Staff interacted with people positively. Staff spoke to people kindly and respectfully.” from the report

Some risk assessments were out of date or conflicted with care plans. Incident records did not always show what had been done to prevent the same problem happening again.

“The provider had failed to ensure risks were fully assessed, reviewed and mitigated against to ensure people’s safety and wellbeing.” from the report

Staff and managers did not always understand what counted as a restrictive practice. Records did not always show why decisions were made for people or whether less restrictive options had been considered.

“The management and staff team were not always aware of what might constitute restrictive practice.” from the report

Some staff had not received training linked to people's specific communication or support needs, including Makaton and first aid.

“Staff had not always received additional training in line with people's specific communication needs.” from the report

The home's audits did not identify missing records or training gaps. The provider remained in breach because it had not effectively monitored and improved quality and safety.

“The provider had continued to fail to assess, monitor and improve the quality and safety of the service and maintain secure and accurate records.” from the report

The report found that care was not always dignified or person-centred. The manager did not always consider how support affected people's privacy and dignity.

“The service did not always provide dignified care to people in line with the registered provider’s values.” from the report