Working at Lillibet House

Safeguarding concerns were not always identified and reported. Medicines were not always managed safely. The service was in breach of legal regulations related to safeguarding, safe care and treatment and staffing.

Some staff told us they did not feel as well supported at the service as they would like. They did not feel they had enough opportunities to speak up in team meetings and did not have the training they needed.

Staff were not having their competency to support people checked to make sure they could safely support people. We observed staff supporting people with their moving and handling needs such as using a hoist and this was not always safe.

A large number of the staff team had not recently completed training in areas essential to their job roles and supporting people such as supporting people living with dementia, safeguarding, moving and handling, epilepsy awareness, specific health conditions or the MCA.

The provider and registered manager had not identified the issues we identified during this inspection through their own internal systems and audits. Some staff told us they did not always feel supported by the registered manager or the provider.

At some times of the day, people were left for long periods of time without meaningful engagement. There were opportunities for people to be engaged in social pastimes at the service. However, if these did not interest people as individuals, there were often no alternative ways for people to spend their time.