Working at The Shrubbery

No permanent manager in place, and oversight systems like audits missed key risks.

At the time of our inspection there was not a registered manager in post... Systems and processes to ensure effective oversight of the service required improvement. Audits had not always been effective.

Risk records and care plans often missing details on things like falls, diabetes, or repositioning, putting people at risk.

Risks to people were not always recorded fully or mitigated... Risk assessments did not always contain the strategies to mitigate known risks... Records showed support with repositioning tasks had not always been completed.

Gaps in staff training on diabetes, nutrition, and medication skills checks.

Not all staff had received training on diabetes or nutrition and hydration... Not all staff had their competencies checked before administering medicines.