Working at Elizabeth Homes

Safety is weak because cleaning equipment is dirty, infection control is poor, risk assessments are often missing or weak, and medication processes are not always safe.

Effective procedures were not in place to prevent the spread of infection. The service was not clean. Equipment used to clean the service was dirty, this included brushes and mops. Risk assessments and care plans were not always in place or did not contain sufficient detail... Medicines that were required to be administered before other medicines had not always been administered separately.

Management oversight is poor because governance checks missed big issues like cleaning problems, safety risks, and record keeping.

Governance systems in place had not been effective at identifying areas for improvement. Although audits took place, they had not always identified or promptly addressed areas found at this inspection. Examples included, concerns related to infection prevention and control, medicines, risk management, window safety, and care planning.

Staff numbers are okay right now but there is no system to keep checking levels stay safe, and hiring records are unclear or dated late.

There was sufficient staff to meet people's needs. However, the provider did not have a system in place to review staffing levels to ensure these stayed safe. Recruitment records were not always clear, and some records were dated after people had commenced employment.