Havilah Office

⚠ People were not kept safe from harm due to risks to their health and wellbeing. The provider had not assessed all risks people faced and assessments available did not include comprehensive guidance for staff about how to mitigate identified risks. Documentation was not easy to navigate as archived risk assessments …

⚠ Staff were not always provided with adequate training and support to meet people's care needs. A relative told us that care staff did not have the relevant knowledge to support their family members with percutaneous endoscopic gastrostomy feeding (PEG feeding) and using the hoist. We reviewed staff training certificates and …

⚠ The provider did not ensure people were supported to eat and drink enough in a safe manner and in line with their preferences. One person's care plan stated that their weight must be monitored. There was no guidance for staff about how to do this or how frequently and there …

⚠ At the last inspection in May 2017 we found the service was not responsive because people's care plans had not been fully reviewed to include personalised information about people's care. The provider had not taken action to make any improvements and the concerns remained at this inspection. Assessments had been …

⚠ At the last inspection in May 2017 we found a breach of the regulation in relation to good governance because the monitoring systems in place to assess the quality of care provided were not fit for purpose. The provider had not taken appropriate action to make improvements and the concerns …