Updated 18 July 2024
There had been improvements in the home. We found the work to achieve full improvement had stalled in the absence of the registered manager who had been on extended leave. Towards the end of this assessment process, they had returned to work and commenced on an action plan to continue their work. Work around safeguarding people was needed to ensure unexplained injuries were reported and investigated appropriately to help to promote people’s safety and welfare. Staff communication needed further development to enable them to effectively explain to people what support they were offering and the benefits of this. Medicines management systems were in place but there were areas that required some development and consistency. Staff, when supporting people, for the most part were seen to be kind and caring. Some staff needed further development in their approach and the interaction outside of care tasks needed developing. Staff training was in place, the management team needed to provide more oversight to ensure they were putting the training to good use. The registered manager had plans for this as they were returning to work. Care was at time task led rather than person centred, this also at times impacted on people’s dignity. The registered manager had plans to address this as they returned. Mealtime experiences had become safer since our last inspection, however work to consistently improve the mealtime experience was needed. There were systems in place to monitor the quality of the service. While we found there to be improvement in relation to areas such as pressure care, staffing, medicines, falls and care planning, these had not always been used robustly since our last inspection.