Working at Paul Clarke Home

Managers missed key oversight like submitting incident notifications and spotting mental capacity gaps until inspectors raised them.

The provider had failed to notify us of an incident involving the police and a safeguarding referral... Systems had failed to identify that one person did not have all the necessary mental capacity assessments in place.

Staff did not always follow risk care plans, like leaving someone at choking risk alone with food, and missed legal protection paperwork for restrictions.

we observed one person who was at risk of choking being left alone with food, when their care plan stated the person should have staff with them whilst eating. One person had not had a DoLS applied for, despite it being considered necessary.

Staffing levels are okay but depend on some agency workers to fill shifts.

The provider used a scheme where agency staff who had worked in the service could transition to become permanent members of staff.