Working at Iceni House

We identified that 2 people living in the service had unexplained bruising on a skin integrity report. We could not find any accident or incidents in the previous 3 months involving these people. The service was not aware how these occurred and no other recording of the bruises within their systems.

We found there was a closed culture. There was a lack of governance oversight and poor systems and processes in place. The provider did not appropriately assess and monitor what was happening in the service and this contributed to the closed culture we identified.

When we attended site, we were concerned over the staffing levels and culture of the workforce. We observed staff were not visible in the environment, and when people were using their call bells, they were having to wait for times up to 15 minutes to have their needs responded too.

Staff had not been receiving regular supervisions and no appraisals had been completed with the staff within the last year.

There was no registered manager in the service, although the management team had recruited unit managers and a night manager to oversee the service with their support and they were actively recruiting to fill the registered person status.

There was an activity plan in place showing a variety of different activities, however, there was limited evidence of how these were being implemented. None of the activities planned included taking people out into the community. We observed a group activity where there was little engagement from people.