Working at Cedar Falls Care Home

Managers checks missed problems like poor dementia care and safety issues.

Systems to monitor the quality and safety of care provided in the home had not been effective. They had failed to identify concerns.

Staff lack dementia training so care is often task-focused not person-centred.

Staff lacked the knowledge of good dementia care and needed further training in this area.

Medication mistakes and infection control lapses make safety unreliable.

Medicines were not managed safely. Some medicines administered 'as required' were not given in line with the prescription and where medicine had to be hidden in food and drink there was not always advice from a pharmacist.