St Andrew's Nursing and Care Home

People's care records were not always accurate or effective in order to give staff guidance on how to meet the nutritional needs of people.

People were not always supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

Systems and processes around safe recruitment needed improvement. Checks had not consistently been carried out in respect of some staff's right to work in the UK. The provider had not always assured themselves of gaps in employment and had not always ensured references were sought from staff's last employer when staff were recruited by a recruitment agency.

Medicines management at the service had improved. There was guidance for staff to follow on how to safely administer "As and when medicines." However, the service would benefit from improvements in the recording of medicated creams.

There had been an inconsistency in management at the service since the last inspection. Managers at the service have been interim, with no registered manager since August 2021.

Staff had received training in order to recognise how to protect people from abuse. People and their families told us they felt safe at the service.