Reinbek

We identified 1 breach of the legal regulations.

Individual risks to people were not always managed safely. This placed people at risk of harm.

People felt safe and staff understood their responsibilities to safeguard people. Individual risk assessments were in place for people. However, we had concerns regarding the safe management and monitoring and of people’s individual risks. These included records of people’s safety risks around nutrition, hydration and skin care. The registered manager told us they used an assessment tool to determine staffing levels. However, we were not assured there were enough staff on shift to ensure people’s safety as people told us they did not get a timely response when they needed assistance. Staff received induction and training; however, we found staff were providing care to people before they had completed all of their training.

People were mostly supported to have choice and control in their lives. People’s care plans included personalised information around their preferences and choices for how they wanted their care to be delivered. However, we found people felt they did not have their preferences respected around bathing and showering. We received mixed feedback from people about how caring and attentive staff were.

People’s equality and diversity were respected. People saw the GP when they did their weekly ward round at the home. Staff raised the alert if district nurse visits to the home were overdue. Newly improved surveys to gather people’s views were in the pipeline. Resident and relative meetings were held at the home and the management team gave us examples of changes made as a result of feedback from people.