Working at Apple Hill

Staff used physical restraints without training or proper risk plans, and unexplained injuries were not always reported to safeguarding teams.

Staff did not receive training in the use of restraint including any type of physical holds, however, we found examples of staff using holds when providing care and treatment.

Managers missed big problems like safety risks and poor staff checks because oversight and audits were not strong enough.

We identified 5 breaches of regulations that had not been identified by the provider’s own quality assurance processes.

Recruitment records for some agency and new staff were incomplete with missing references and checks.

Staff recruitment processes did not consistently promote safety. For example, 2 profiles for agency nurse staff members did not include all information required, such as evidence of continuous employment.