James Delaney

“There are several general Policies and Procedures in place and individual documents relating to service users. Whilst staff are now given ring-fenced time to read and understand those documents on entering the Home, the evidence is that time is not set aside to refresh themselves at regular intervals with regard to this information”

“The Medication Policy covering all medication, all service users at all Homes within the Crystal Care umbrella organisation, provides a GP should be called if medication is not taken for 24 hours. At Sapphire House staff have been sent an email requiring them to call a GP should a service user refuse one dose of medication. This is not a standard procedure across all Homes and could lead to confusion, particularly should staff transfer between Homes and on new staff joining who may not have access”