Working at Elm Bank Care Home

No permanent manager after the recent one resigned, and serious oversight gaps letting problems slip through.

There was a registered manager on site, however we were told they had resigned towards the end of this assessment... The service was in breach of legal regulation in relation to governance at the service.

Risk checks like repositioning, catheters, and oral care not done or recorded properly, putting people at risk.

one person’s records indicated their catheter should be checked and emptied every four hours, yet monitoring charts did not evidence this was taking place... a person who was non-verbal... had not had their hair washed for 17 days.

Gaps in staff training for specific needs like catheters, so not everyone skilled for all tasks.

not all staff supporting individuals with catheters had received the appropriate training... not all staff knew how to access these policies [safeguarding].