People who used the service told us staff sought their consent before carrying out their care needs. We were told by people using the service; "It is fine, I am treated very well. The staff are supposed to be helping me to walk again but, there are not enough staff to do this." Another resident said, "It was lovely here but, I don't feel that it is stable, there have been too many changes." We had mixed comments from relatives, some very complementary, and others expressing concern about the staffing levels. We found that staffing levels were inadequate to meet the care needs of people, and as a result some people did not get drinks regularly and others did not have their preferences and choices respected. Although staff had some training that covered relevant areas, such as safeguarding vulnerable adults, staff were not supported to develop their skills and expertise through supervisory and performance review opportunities.
The reporting procedures for safeguarding people and adverse situations were not always followed through and therefore people were at risk where their care fell below acceptable standards. There were inadequate assessment and monitoring processes in place, meaning that people using the service could not be confident that improvements would be made.