Working at Burnham Lodge

Staff feel there aren't enough of them because levels are based on resident numbers not care needs, rotas are badly managed leading to long 12-hour shifts in a row, and recruitment checks like references are often missing or wrong.

feedback from staff showed staff felt the staffing levels were not sufficient as were based on the number of people living in the service as opposed to their needs. Staff told us the rota was poorly managed and this resulted in some staff having to work long stretches of 12-hour shifts in a row. Safe recruitment practices were not promoted, and the service was not working in line with the providers reference policy.

There are big gaps in staff training like first aid, fire safety, and nurses miss training for wound care, catheter care, and feeding tubes so they might not have the right skills.

In training records viewed we saw there was gaps in training such as emergency first aid and fire warden training. The training records for nurses showed training was not provided for the nursing tasks they were undertaking such as catheter care, wound management, Percutaneous Endoscopic Gastrostomy (PEG) feeding.

Safeguarding fails because abuse concerns aren't always spotted or reported, risk assessments are late or weak, and medicines run out so residents miss important doses.

The service failed to have systems and processes in place to ensure people were protected from abuse. Staff failed to identify events which had the potential to cause harm to people and report them to the local safeguarding authority. Medicines were not always managed safely. The ordering process for prescribed medicines was not safe and effective. As a result, people went without essential prescribed medicines.