Working at Livingstone House

Prior to the inspection, we had been alerted to 2 allegations of abuse, involving people living at Livingstone House. The control measures put in place following the first incident were not adequate, which subsequently meant a second incident occurred.

Some care staff told us they felt unsupported by senior management. One staff member told us, "No, I don't feel valued, just feel left out and not listened to or supported."

a review of rotas in the four weeks preceding the inspection demonstrated staffing levels were often below that set by the provider... more usual for three staff to be rostered on at weekends (rather than four) and on two occasions, there were just two members of staff on duty.

the provider submitted a record of training they considered mandatory following inspection which demonstrated significantly low completion rates in most modules across the 15 staff. For example, Preventing and Managing Challenging Behaviour (13%), Supporting People with Autism (60%), Epilepsy Awareness (60%), food hygiene (13%)

At the time of our inspection there was not a registered manager in post. There had not been a registered manager in post since June 2022.

Activity records evidenced a low level of community based activities. Over a period of 33 days, there was a total of 14 activities recorded for all five people living at Livingstone House, most of which were as part of a group rather than on a one to one basis.