Working at Chase House Limited

Safeguarding concerns were not always identified and reported. Incidents were not always well documented or managed... Medicines were not always managed safely.

Although staff felt they could approach leaders with concerns and they would be addressed, leaders were not always proactive in identifying poor practices... A leader told us it was their preference to have “white Western staff” as they felt overseas staff were task-orientated.

People, relatives, and staff expressed concerns about being short-staffed during unexpected staff absences. A staff member said there were not enough nurses during the day, which left little time for them to interact with people.

Staff training in safeguarding, medicines, and supporting people with their mobility had not led to staff providing safe care in these areas.

The service did not demonstrate they had capable leadership with the right skills and knowledge. We identified breaches of the legal regulations and concerns in areas such as safeguarding, safe care, person-centred care, consent and governance. Leaders had not independently identified and acted on these concerns prior to our assessment.

While some people had been supported to participate in activities, records showed other people received very little support to participate in meaningful activities. Several people's records lacked evidence of meaningful activities being offered to them regularly. A person told us, "It's ok here but very boring."