Working at Lukestone Dementia Nursing Home

There were not always risk assessments in place to give staff the guidance they need to keep people safe. Medicines were not always managed safely as there was a failure to ensure one person received their prescribed medicine for two weeks.

Staff told us there was not always enough staff to observe people and ensure their safety and meet their needs. Staff described how the lounge was often left unattended.

Staff told us they did not have the training they needed to meet people's needs around emotional distress and dementia. Staff and agency staff had not received all the training required to support people with their complex medical needs, for example tracheostomy care.

Management checks and quality assurance systems had failed to identify the concerns we found at inspection and therefore necessary improvements had not been made. Staff concerns were not known by the registered manager.

On both days of the inspection people were sitting in the lounge silently and did not engage with anyone. Staff were focused on the tasks they were doing rather than the people in the room.