Working at Farm Cottage

No permanent manager in place, leading to gaps in oversight and audits missing problems.

At the time of our inspection there was not a registered manager in post. However, a manager had been appointed and was in the process of registering with CQC. Systems and processes to ensure the management team had oversight of the service and could make improvements were not always effective. Audits completed on records did not identify the concerns found on inspection.

Not enough staff on some days to support outings and activities that need two staff to one person.

Staffing levels were not always consistent regarding the number of staff available to support people to have choice and control of outings and activities. The rota evidenced on some days there were not enough staff deployed at the service to ensure people had the choice and control to go out as they chose, due the need for two to one staffing.

Unexplained injuries not always investigated properly and some risks like food or bathing not fully assessed.

Unexplained injuries were not always investigated to identify a cause to reduce the risk of reoccurrence. Risk assessments had not always been completed to identify the strategies required to keep people safe from harm. For example, risk assessments had not been completed for known risks regarding food, bathing, and known health conditions.