Working at Winchester House

No permanent manager on site every day, so leadership and oversight are weak with audits missing problems.

The service had a manager registered with the Care Quality Commission, but they had left the service and were not in day to day control. Governance and auditing systems had not been effective in highlighting or putting right shortfalls we found.

Big gaps in staff training and no regular supervisions or check-ins.

Staff did not always have the right training to carry out their role. Staff had not received regular supervision and appraisal... lots of gaps where training had elapsed and needed to be re-booked.

Safety risks to residents like choking, constipation, seizures, and challenging behaviours not managed well.

People were not consistently kept safe from risk of harm. We found risks relating to constipation, epilepsy, choking, and behaviours that may challenge that could have been managed more safely.