Working at The Laurels

The manager splits time between this home and another so oversight of risks and records has slipped leaving gaps new staff might miss.

the registered manager’s time being split between The Laurels and another of the providers locations. Although the provider had put systems in place to cover the management of the home in the interim, the quality of recording and review of information relevant to people’s care and safety had deteriorated.

Risk assessments for choking, falls and skin injuries are not always up to date or detailed enough and daily food prep records are spotty.

Risks relating to constipation, choking, and monitoring of people’s skin were not sufficiently robust. Where risk assessments were in place, some were overdue review. Daily notes completed by staff did not always describe how food was being prepared for those at risk of choking.

Staff training covers basics but competencies are not checked for PEG tube meds and more training needed for spotting skin damage.

although staff had been trained to manage Percutaneous Endoscopic Gastrostomy tubes (PEG) they had not had their competency assessed, as per the providers policy. This included competencies around managing people’s medicines administered via a PEG... some additional training was required to ensure staff were skilled to identify potential skin damage.