The Laurels Care Centre

Incidents and accidents were recorded, however we were not fully assured that lessons had been learnt from these and appropriate actions taken to prevent a re-occurrence. Concerns of a safeguarding nature had been raised, but there was no supporting evidence that safeguarding referrals had been made regarding the high amount of falls and pressure damage.

Staffing levels had not always been sufficient to keep people safe and to monitor their health and well-being, which had contributed to poor call bell response time. Staff were caring and kind but had lacked the supervision/support and training to provide safe consistent care.

Staff had undertaken equality and diversity training and told us diversity was valued at the service. Medicines were administered as prescribed and managed safely, however we identified some areas of practice that needed improvement in relation to PRN (as required) medicines and the management of eye drops and topical creams.

The premises were clean and well maintained and accessible to all the people who lived there. There were well maintained garden areas that people had access to and were seen to enjoy.

Governance systems and audits were not effective in identifying or addressing areas for improvement and there was a negative culture for learning from mistakes.

The provider was receptive to our feedback and had started implementing improvements quickly. There were immediate changes made to the managerial structure, extra staff have been deployed, The provider has already submitted an action plan in response to the concerns found at this assessment and how they will embed improvements into practice.