Working at Stamford House Care Home

Not enough staff to watch everyone, especially in afternoons, so people at high risk of falls are left unsupervised in communal areas.

There were numerous occasions where communal areas were left without staff present where people would have required assistance to stand and were at high risk of falling, despite this having been identified as an area of need from previous incidents.

Accidents like falls not analysed properly and action not always taken to prevent them.

We noted several instances where people had unwitnessed falls. However, it was not clear what action had been taken to mitigate these risks as much as possible.

Managers not spotting or fixing issues with care plans, recruitment checks, and the home environment quickly enough.

We found shortfalls in how oversight was maintained in areas such as staffing levels and recruitment, as well as the environment and management of individual risk.