Working at 41 West Hill

Staff sometimes skip people's full planned one-to-one or two-to-one support hours, like not going out in the rain without offering other options instead.

We observed a person had not received this support. We asked the staff member in charge, and they told us because it's raining the person would not be going for their walk. We did not observe other alternative options to ensure people receive their commission support.”

Restrictions like locked snack cupboards are used without proper checks on whether they are needed or mental capacity paperwork done first.

We observed a snack cupboard to have a lock on and could only be accessed by staff. The provider could not demonstrate the reason for this, who had been involved in the decision making and if this high level of restrictive practice was needed.”

No activities coordinator or structured programme, just occasional basic outings like zoo or cinema trips, so the job is mostly routine care.

However, care plans did not demonstrate if people were given the opportunity to continuously learn new skills and improve their independence. Staff were not able to explain what plans were in place to support people to develop further.”