Working at Mandeville Grange Nursing Home

Safeguarding systems were not effective. Staff and leaders did not recognise when incidents and events within the service, including poor practice recorded in staff supervision files which met the threshold to be reported to the Local Authority Safeguarding Team to protect people from harm and abuse.

Some staff described concerns about the culture of the service which did not promote a positive environment to work in. They felt unable to raise concerns directly with the registered manager and found the registered manager to be reactive, as opposed to pro-active. The culture of the service was described as a ‘Closed door to staff with ideas and suggestions from staff not acted on’.

The rotas reviews showed there was 20 out of 30 shifts which were not adequately staffed. Staff told us staffing levels were not sufficient, and this impacted people's care and safety especially in the evenings when 3 carers were on shift.

Staff were not suitably trained and competent for their roles. They had completed online training with no evidence practice was monitored to ensure training was embedded in practice. Staff were not assessed or deemed competent for tasks they were undertaking such as catheter and wound care.

We received negative feedback from some staff about the registered manager’s ability to manage the service. The feedback indicated staff were not supported, not listened too and this created a culture of feeling demotivated.

Whilst the service had an activity staff member, some people told us activities were limited and not of interest to them. We noted the activity staff member was busy supporting people with their meals and providing supervision to people sat in the lounge, which reduced their ability to provide activities outside of the lounge area.