Working at 78 Hoylake Crescent

The provider did not manage medicines in a safe way. Parts of the environment were not safe or clean. The provider’s systems for managing fire safety were not sufficient to protect people. Risks to people’s safety and wellbeing were not always assessed or planned for.

Records showed that some staff regularly worked continuous shifts exceeding 24 hours and in some cases 36 hours. For 12 of these hours the staff were lone working. This meant there was an increased risk people would receive unsafe and unsuitable care from staff who were tired and could not work effectively.

Records showed that whilst staff had completed online training, some staff had done this in less than 5 minutes, with 1 staff member completing 3 different modules in this subject in less than 1 minute.

Managers had failed to ensure the service complied with legal requirements. There was a lack of oversight which led to multiple breaches of regulation which placed people at risk of inappropriate and unsafe care.

People did not take part in meaningful activities to help with their mental health or learning new skills. Staff kept records of people’s activities and how they had spent their time. These indicated people did not take part in a variety of meaningful activities and most days spent time at home watching television.