Oriel Care Home

People gave mixed views about their meals, some felt they were not very varied, some were happy with their food. Some staff had not completed mandatory training which could impact on their ability to provide safe effective care.

Some records relating to people showing distress and confusion were not very caring. They showed a lack of understanding by some staff of how people's conditions affected them. We did also see examples of kind and caring staff interactions. Relatives spoke positively about the staff team.

Relatives gave mixed views on whether there were enough events and activities to stimulate people. Some felt their loved ones seemed to have a lack of activities to occupy their time, others felt there was enough for them to do. Staff would have benefited from more guidance in some cases to support people with mental health needs and those living with dementia.

Systems to monitor the safety and effectiveness of care had not identified a number of the concerns we found during inspection. Relatives told us they felt consulted and involved in decisions about people's care. Staff told us they felt supported by the management team.

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