Working at Amethyst Lodge

No permanent manager in place, as the new one isn't registered yet and spends time covering staff shortages instead of overseeing the home.

There was not a registered manager in post. A new manager had been in post since September 2022, but had not yet made an application to register. Their time had mostly been spent... covering staffing shortfalls.

Several staff behind on mandatory training like infection control, medication safety, and safeguarding.

Several staff were overdue refresher training in various subjects, such as infection control, Mental Capacity Act, and medicines... three staff were overdue refresher training [in safeguarding].

Heavy agency use and sometimes not enough staff to keep shifts safe, plus weak recruitment checks on new hires.

Due to staffing shortfalls, there had been a high use of agency staff... Rotas showed this had not always been possible, and at times the shift ran below safe numbers... some discrepancies within staff recruitment files.