Working at Woodbridge House

Big risks around choking, constipation, and emotional distress not managed well, and medication given unsafely.

There was a lack of effective risk management in the home to ensure people's safety, especially in relation to people at risk of constipation and choking. Medicines were not always managed safely and there was a lack of protocols to provide guidance to staff for the use of 'as required' medicines.

Managers missed major problems because quality checks and audits did not spot them.

The provider had not ensured effective management of the service. Quality checks and audits had not identified the concerns we found at inspection.

Staff missing key training on handling distress and physical interventions needed for safety.

this did not include positive behaviour support training at the level required in the service. Staff confirmed this, one staff said, 'I did Passport training first part… physical intervention is part 2 and I have not done that.'