Working at The Cottage Residential Care Home

People were not safeguarded from abuse... Risks to people were not managed safely... Staff were not adequately trained and medicines were not managed safely. Infection control processes were not always safe.

There was a lack of shared direction and cohesive culture within the service... staff had not recognised the failings at the service. This meant we were not assured the staff were aware of the standards people should be receiving.

The service did not make sure there were enough qualified, skilled and experienced staff... the local authority placing agency staff to support a person with a specialist diet, highlighting the impact of these gaps on safe care delivery.

The service did not have a training plan or matrix in place... staff had not received recent practical manual handling training, and no staff had completed training in relation to the International Dysphagia Diet Standardisation Initiative (IDDSI).

The provider and registered manager of the service was no longer available to provide oversight at the service. Present at the service was 2 interim managers... We were not assured the managers present had the skills, knowledge or experience to provide safe care.

Not covered in recent targeted inspection; prior report from 2018 exceeds 2-year threshold.