Working at Edwin Therapeutic Unit

Quality checks by managers miss problems like differences between risk plans and what staff do in practice.

Audits found no concerns with care plans and risk assessments, but we found discrepancies between guidance in these two documents and practice.

Safeguarding isn't working well because staff constantly supervise one resident without reviewing to see if less watching is possible.

There was no evidence this restriction of the young person's privacy had been reviewed to ensure it was the least restrictive, since it had been initiated.

Staff do not fully get rules on mental capacity decisions and deprivation of liberty safeguards, so daily choices might not protect residents properly.

Although staff had received training in the MCA and DoLS, the evidence above shows MCA principles were not consistently put into practice due to lack of staff knowledge in this area.