A care home has been criticised over the standard of care planning and staffing levels.
The Care Inspectorate highlighted the issues after a surprise visit to Wyvis House Care Home in Dingwall.
Inspectors said although residents had formed good relationships with staff and procedures and practices on infection prevention and control had significantly improved since the last visit, there were still shortcomings to resolve.
Care and support for residents was graded “weak” by the two inspectors.
Supporting peoples’ wellbeing, leadership culture and the staff training were all said to be “adequate”.
The setting of the home, which has just under 50 residents, was said to be “good” and it was praised for being clean, tidy and well maintained.
RELATED: Inspectors to revisit care home after ‘weak’ findings
Further action demanded at Wyvis House
However, inspectors said management needed to develop opportunities for people to engage with activities that are meaningful to them.
The report stated: “Many residents were reliant of staff to support them with social and recreational needs, however, it was clear that the current staffing levels within the home did not support this.
“Residents were often bored or disengaged. Those who were not able to vocalise were seen asleep in chairs in the lounge or in their bedrooms.”
Staff were also found to need “regular and ongoing support” from the management team to ensure their practice and learning development was kept up to date.
Inspectors said the management team had taken some actions around quality-assurance processes, but that it needs to improve to ensure people’s care and support is as good as it can be.
The report went on: “We saw that staff were often stretched and this had impacted on people’s care and support, for example, staff were not available to support people to the toilet during mealtimes, and occasionally this had caused distress.
“This means that people sometimes are not getting the support they need at times they needed it or wanted it.
“We recognised that in common with many care services, staffing has been challenging, however, the management team needed
to consider how they manage
staff deployment in order to ensure people’s needs are consistently met.”
Inspectors added: “Information in people care plans was limited. Generally these enabled staff to deliver basic care but not in sufficient detail to ensure the needs and wishes were met for people with long-term or life-limiting conditions or if people should become seriously ill.
“We had made an area for improvement at the last inspection about this. The service had made little progress since that time. We provided the manager with some resources to help them progress with this area of care and support and we shall look at this again at the next inspection.”
A number of requirements were imposed on the care home as well as areas for improvement identified.
These included improving care planning and making sure every resident has an activity plan to keep them stimulated.
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