Working at Florence Court Care Home

Unexplained bruising on people's skin wasn't investigated as possible abuse, and safeguarding concerns weren't always reported properly.

A body map showed bruising to a person's arm which was unexplained. On checking, there was no incident report or account to explain the bruising. The deputy manager told us staff record skin injuries on a body map but do not complete incident forms.

Risks like the fly infestation weren't assessed or managed well for months, creating health dangers for residents.

Since October 2022 the home had experienced an infestation of flies, and this had posed risks to people's health and wellbeing. We found these risks had not been robustly assessed... No health and safety risk assessment had been developed until 27 February 2023.

Management systems didn't spot or fix problems like poor risk checks and safeguarding gaps in time.

Quality assurance processes were in place... However, these had not been effective in identifying all the concerns we found during the inspection... The failure to operate effective systems to assess, monitor and mitigate the risks... was a breach of Regulation 17.