Working at Hatfield Lodge

New staff get hired without full checks on past jobs or references from care roles, and concerns about why they left old jobs are not risk assessed

The application forms had not been fully completed with some gaps in employment, the reasons for why staff had left their previous had not been fully explored or recorded. The management team had not always requested references from previous social care providers. When there had been concerns about why the staff member had left their previous role this had not been recorded or risk assessed

Guides for risks like falls, catheters, and when to give extra pain or constipation meds lack details on what to do

there continued to be gaps in the guidance, for example, when people did not want staff to support them with their catheter care. Staff had not always been able to support with the changing of the drainage bag weekly... there was no specific care plan and guidance for staff to reduce the risk [of falls]... limited guidance for staff about when to give the medicine, how often and what action to take if it was not effective

Staff do not always get proper supervision or development to build skills

They did not always make sure staff received effective support, supervision and development