21 June 2011
During an inspection in response to concerns
People were receiving support with their daily personal care and their general physical health needs were being met.
Some parts of the way people's medicines were being looked after were not safe.
People were taking part in some activities but staff shortages had meant that not all the desired activities and outings could be provided. This had led to an increase in some people's negative behaviours as there was a lack of positive stimulation and structure.
Some people's complex emotional and behavioural needs were not being effectively met at the home. This had resulted in a high number of incidents occurring where others living in the home and staff had been hurt or scared. Lower than needed staffing levels had increased the risks and made this situation worse.
Most of these incidents had not been appropriately reported within the company or in line with local multi-agency safeguarding procedures. This had meant people's families and representatives had not been told.
The company's systems to help safeguard people had not been effective. This was because staff had not felt able to tell senior staff in the company of their concerns about the way the home was being run. The company's monitoring checks had also failed to identify the problem.
Once they were aware, following our visit, senior staff in the company took action quickly to help keep people safe and improve arrangements for the future.