Leadership and accountability: Despite repeated concerns raised verbally and in writing, we have seen little evidence of meaningful action, follow-up or accountability in the home.
Management presence: Despite being told a manager would be present for two hours each weekend day, management appears limited.
Medication: Not always administered correctly. I now review medication weekly with unit manager, who appears to be doing her best but appears to have limited wider management support.
Personal care: Bathing appears to occur only weekly, or less; appropriate assistance with washing and personal hygiene is not consistently provided.
Records and communication: Inadequate tracking of blood tests, medication errors and GP visits, with staff unable to provide clear explanations.
Activities and weather: Activities not always appear appropriate to the resident's age, abilities and individual needs. Concerns also arise about outings during very hot weather and whether sufficient consideration is given to safety, hydration and comfort.
Hygiene: Bathrooms not consistently checked despite known incontinence. Relatives have found faeces on the floor, raising serious concerns.
Medication we were told explicitly by Home Manager that an empty medication pot was considered evidence that medication had been taken. This was challenged, as an empty pot does not confirm ingestion.
