Working at Amberley Hall Care Home

People did not receive their medicines as prescribed, and we identified gaps in the completion of corresponding records. People were not being protected from the risk of harm, including in the condition and cleanliness of the care environment.

Staff we spoke with gave positive feedback about their role and working at the service, however, 2023 staff survey results identified some staff felt unhappy or not valued, did not all feel they had the 'tools and equipment' required to meet the demands of their roles and did not feel their wellbeing was supported.

Sufficient levels of suitably trained, competent staff were not in place to keep people safe, in line with the service's own assessed staffing numbers. This was a breach of regulation 18 (Staffing).

We reviewed the service's mandatory training matrix and identified gaps in relation to the completion of training, and competency checks.

The systems and processes to assess, monitor and improve the quality and safety of the service were not established or operated effectively to maintain standards and drive improvement at the service. This was a breach of regulation 17 (Good governance).