Palace House Care Home with Nursing

“Incidents and accidents were not being managed safely, staff did not take appropriate action to manage accidents. The procedure to manage allegations of abuse was not always being followed. Not all safeguarding concerns had been dealt with appropriately and the relevant partners informed in relation to allegations of abuse. Risks were not always being managed safely. Records confirmed professionals were involved in assessments and reviews of people’s needs. relatives were confident about the staffing but said there had been a lot of changes recently.”

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“Environmental checks were taking place but required improving, fire safety risk assessments had been completed but the PEEPs file had incorrect information in it in relation to the people who were living in the service.”

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“Training records were seen but the matrix did not include all staff members on the duty rota. Staff feedback was mixed about the supervision provided to them; the supervision records did not confirm all staff had undertaken a supervision. Staffing numbers needed to improve to ensure there was sufficient staff in place to meet all people’s needs.”

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“The provider did not always assess or manage the risk of infection. They did not always detect and control the risk of it spreading. Cleaning tasks and checks were not being completed in line with their schedules. The service did not always make sure that medicines and treatments were safe and met people’s needs.”

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“Consent was recorded in some of the care records we reviewed these had been signed by the registered manager on the person and relative’s behalf. We saw evidence of DoLS (Deprivation of Liberty Safeguards) information however, these had not been updated where people’s needs had changed.”

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“Care records had been developed but they did not always include accurate and up to date information about people’s individual needs. People were not supported safely to manage their nutrition and hydration needs, records about people’s assessed needs in relation to individual meal requirements had not been updated to reflect accurately…”