Working at Hyde Lea

Staff did not always report incidents like arguments, sexual behaviour or falls, or make safeguarding referrals on time.

we were informed by staff about incidents such as sexually inappropriate behaviour, altercations between people living at the home, and for one person a serious fall when out in the community. These were not clearly documented anywhere within care records, and appropriate referrals had not been made to the local authority.

Risk assessments were often missing for things like choking, skin sores or self-medicating with insulin.

Risk assessments were not in place to demonstrate how these risks would be managed appropriately... one person had a moisture lesion but did not have an appropriate skin integrity care plan in place.

Governance checks did not catch gaps in records or plans until inspectors pointed them out.

further improvements were necessary to ensure audits were more robust in identifying any gaps, and the improvements made during this inspection needed to be sustained over a longer period.