Bryn Haven

We identified 3 breaches of regulations in relation to safe care and treatment under this key question of safe. Medicines were not always managed and administered safely. There was not always enough staff on duty to provide people with safe care and effective support. People’s individual risks were not always managed safely. Staff knew how look out for signs of abuse and report safeguarding concerns. Safety concerns and events were reported and investigated. Staff were recruited safely. People and visitors told us they felt safe.

People and their relatives mostly told us staff were kind and caring and we observed some kind interactions between people and staff. However, we also made some observations of care which did not promote people’s dignity. We found concerns around people’s cleanliness and the timeliness of their support. People told us they made choices around their care and there were no visiting restrictions in place at the home.

Staff had access to whistleblowing procedures to raise any concerns. We received mixed feedback from staff around the availability and access to the registered manager as they were often very busy. The registered manager completed a suite of audits and oversight tools to monitor the quality and safety of the service. Periodic checks, including daily walkarounds of the service and audits of care documentation were completed by the registered manager. However, these checks had not always identified or actioned the concerns we found on this assessment, for example, thickener recordings, diet and fluid records, people’s cleanliness and concerns raised around staffing levels. The registered manager was quick to act in response to any concerns raised during this assessment. Notifications were submitted as required and people’s data was kept secure.