During the inspection, it became evident that there were significant shortcomings in safeguarding measures, as well as a lack of risk assessments for resident safety, leading to a blanket approach that did not cater to individual needs.
The absence of proper procedures was glaring, particularly evident in the manner of serving breakfast, which did not enhance the residents' mealtime experience, instead following a rigid protocol without considering personal care requirements.
Inspectors specifically highlighted the poor condition of fire safety measures, emphasizing that non-compliance regarding fire doors had been flagged in a prior inspection, suggesting an ongoing disregard for resident safety.
Problems extended into financial management, where incomplete pension forms and unaccounted-for funds raised serious concerns about transparency and responsibility, leaving both residents' estates and their families in uncertain positions.
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