Working at Howbury House Resource Centre

Manager in place but weak oversight misses risks and care gaps like weight checks and behaviour plans.

Systems to review people's risks were not effective. Issues we found at this inspection had not been known or if they had been identified, actions had not been taken.

Safety risks like choking from inconsistent fluids and unsecured thickener aren't managed well.

For people on modified fluids or modified meals, information for staff to manage this safely was limited or inconsistent. Kitchen staff prepared meals in a way that did not match what the person's care plan or advice from a speech and language therapist.

Only basic games and music by care staff with no dedicated activities coordinator or programme.

Staff played dominoes with one person and staff played a game of cards with others.