Amberley Care Home

“The provider did not ensure people’s individual needs and preferences were met. Systems were not in place to ensure people rights under the Mental Capacity Act were met. Risks to people were not managed safely and lessons were not learnt to reduce future risks to people. Staff had insufficient guidance for the management of people’s known health conditions and risks. People’s medicines were not always managed safely. The provider did not follow their own or the Local Authority safeguarding procedures to ensure people were safeguarded from harm. The provider did not take timely action to ensure the environment was safe. The provider had not ensured staff received training and support to enable them to have the skills and knowledge for their role. The provider did not always follow safe recruitment practices.”

“The provider’s quality assurance and auditing systems were inconsistent and not effective. They had failed to identify the issues highlighted during this inspection. Systems to ensure care was provided safely and appropriately were not always robust.”

“Staff did their best to support people and to provide care which met their needs. Most staff felt supported in their roles. The provider had recently made changes and started investing in the home. The provider took some immediate actions to address the safety concerns we raised during our inspection.”

“In instances where CQC has begun a process of regulatory action, we may publish this information on our website after any representations and/or appeals have been concluded, if the action has been taken forward.”

“This service is being placed in special measures. The purpose of special measures is to ensure services providing inadequate care make significant improvements. Special measures provide a framework within which we use our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide.”