Working at Thomas Fields Care Centre

Some abuse incidents weren't reported to outside authorities, missing chances for extra protection.

We identified three incidents where people had been victims of physical and verbal abuse... these incidents had not been reported to the local authority safeguarding team.

No permanent registered manager, acting manager stretched doing multiple roles with oversight gaps.

There was no registered manager in post... the deputy manager had accepted a six-month fixed term contract... working as both manager and senior care worker.

Agency staff cover shifts but home didn't always double-check their background checks.

Where staff were drafted in from an agency to cover vacant shifts, the provider did not seek reassurance they had been subject to the same pre-employment checks.