Working at Freestones Residential Care Home

Risks like falls, skin sores and infections are not always properly assessed or managed, putting residents at risk.

Systems and processes were not robust enough to ensure risks to people were appropriately identified, managed and mitigated. Assessments and care plans lacked adequate details of people’s individual needs and the care they required.

Some staff training has lapsed in key areas like fire safety and infection control, with no plans to fix it.

some staff training had lapsed in topics such as fire safety, infection prevention and control and Mental Capacity Act. The provider did not share any plans to demonstrate how they planned to address this.

Management oversight and audits are weak, so problems like poor care records and safety risks are not spotted or fixed early.

management oversight systems, governance arrangements and audits, were not robust and had not been used effectively to assess, monitor and improve the quality and safety for all aspects of the service.