1, 3 March 2013
During an inspection looking at part of the service
Several people told us that living in the home "was alright". One person told us "don't ask".
We saw the care files for five people, the two in the new format (created since our last inspection) were detailed whilst the three in the old format remained poor. This made it difficult to confirm people's needs were being met.
We observed poor care practices during our inspection on 3 March 2013 and made two safeguarding referrals to the Oxfordshire Safeguarding Team. These are being investigated.
Some people that we spoke with said the food was good others said it was ok. One the second day of inspection we observed two people who required a soft diet and given a liquidised meal.
Care staff appeared very busy and the three care staff on duty confirmed there was not sufficient staff on duty to meet the needs of the 16 people.
The complaints procedure was incorrect as it told people wishing to make a complaint that they should contact the CQC, where as it should have been the provider in the first instance.
We observed medication prescribed to be given at 12pm, being given at 1.15pm, we discussed with the member of staff administering medication and told medication was late because staff were very busy.
We did not observe people being taken or prompted to go to the toilet before lunch was served.