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Inspection report

Date of Inspection: 23 April 2013
Date of Publication: 24 May 2013
Inspection Report published 24 May 2013 PDF

Overview

Inspection carried out on 23 April 2013

During a routine inspection

We spoke with nine relatives of people using the service. One relative told us, "Nursing staff are gentle with my relative and they understand their needs. Sometimes there is a language barrier as many staff do not speak English as a first language." Another relative told us, "Some carers are better than others. They seem to be in a constant state of hurry." A third relative said, "Staff do not really have time to interact with my relative on a one to one basis. [My relative] cannot understand what some of the staff say. Some of the staff are abrupt with my relative."

We observed that staff did not interact positively with some people using the service and that staff talked about people in front of them and shouted over their heads. Some staff demonstrated a lack of understanding around ensuring the dignity of people with dementia. We saw that procedures to ensure that people were restrained appropriately had not been followed and we have reported this to the local authority safeguard team.

We saw that some people with diabetes did not always have their care needs assessed or appropriately treated. People's skin integrity had been risk assessed but preventative equipment was not always in place to mitigate the identified risks. Nursing staff had not received up to date training around tissue viability and diabetes.

Where areas of non-compliance have been identified during inspection they are being followed up and we will report on any action when it is complete.