Working at Mellieha

Staff training is not up to date for key areas like safeguarding and care for swallowing or stoma needs.

We were not assured staff training was up to date. The provider's training matrix indicated several courses had either not been completed or were out of date. For example, staff had not completed training in dysphagia or stoma care.

Safeguarding issues are not always spotted or reported properly.

Safeguarding concerns were not always reported by the provider as required. Training in safeguarding was not up to date and not always effective.

Managers have unclear roles and oversight systems miss important problems like medication errors.

The registered managers and staff were not clear about their roles and responsibilities. Systems and processes had not consistently identified the issues found during the inspection.