2 November 2012
During an inspection in response to concerns
We were told by one person who used the service that things had changed at the home and this had affected their enjoyment of living there. We were told, "I liked it at first, but not now." Another person told us, "Staff hardly come to me," and "They don't normally pay attention to me."
The staff we spoke with were not confident about people's care needs and we were not confident about the arrangements in place to meet these needs. Staff did not fully understand people's needs around their pressure area care and their nutrition and hydration. This meant that people did not always have their needs met and this affected their health and wellbeing.
We were very concerned about the culture of recording and reporting safeguarding issues and significant improvements were needed to keep people safe from harm or abuse.
We also identified concerns about standards of cleanliness and infection control, the provision of suitable equipment to meet people's needs and how concerns about the quality of care and other services were handled.
The provider had not picked up on these issues and as such had failed to identify, assess and manage risks to people living at the service.