16, 17 October 2012
During a routine inspection
One person told us, 'I can get up and go to bed when I want, I make my own decisions,' but we found mixed evidence in terms of whether people were treated with dignity, respect and were involved in decisions about their care. We saw some staff did not use respectful language when they referred to people living at the service.
There were significant concerns with the way nursing tasks were managed, especially around pressure area care. A visiting professional told us that some people who were at risk of developing pressure ulcers were not using the right equipment. In some cases they had the equipment they needed but staff were not using it correctly. A number of issues had been raised about pressure ulcers and some of the staff felt these could have been avoided, but said the nurses ignored their comments when they raised them.
We found that people did not always receive the support they needed to make sure that they received an appropriate diet to maintain their health.
People told us they felt safe at the home and we found that all incidents of potential harm were referred to safeguarding but not enough was done to prevent the risk of incidents.
We found there were not enough staff and the systems to support staff were not always effective.
Complaints were recorded and responded to appropriately.