Working at Avonmere Care Home

Leaders missed safety issues like poor risk plans and emergency kit problems because their audits and checks are weak.

Audits completed at service level did not identify or address shortfalls found during this assessment. For example, audits of care plans were not effective in identifying and addressing the shortfalls we found with people’s risk assessments.

Sometimes short staffed in the mornings and they use agency workers to cover cancelled shifts.

Staff said the manager arranged agency cover when shifts were cancelled. However, while some felt the service was occasionally short staffed... One resident said, “They’re very short staffed, especially in the morning.”

Risk plans are not always personal to each person and use generic details instead.

we found some risk assessments were not sufficiently personalised, with individuals referred to as “the casualty” rather than by name. For example, care plans for people with epilepsy, diabetes, choking risks... included generic information.