Working at Earlham House

Recruitment records were kept up to date and gaps identified were addressed (recommendation made); PRN medicine prescribed to one person, but this had not been recorded on their medicine administration record (MAR); we were concerned about staffing levels at night.

Staff felt there were enough of them to meet people's needs; the manager told us they felt supported by the provider who they said took their suggestions on board (per 2021 comprehensive inspection).

On the day of our inspection we saw that staffing levels were sufficient to meet people's needs. However, we were concerned about staffing levels at night; Staff felt there were enough of them to meet people's needs. One staff member told us, 'I think so, we are always recruiting and building up our bank staff.'

Per 2021 comprehensive inspection: Staff training was not always effective in ensuring staff understood their responsibilities in reporting and acting on abuse and staff competency to administer medicines assessed. We have made a recommendation in relation to staff training.

There is not currently a registered manager in place, the new manager appointed in March 2022 is currently in the process of submitting an application to become the registered manager; frequent management changes meant there was sometimes inconsistencies in the way the service was managed by different people.