1. Yes - Unable to safeguard and she is at risk of harm

2. Medium risk, potentially from one staff member who may be causing emotional and physical harm. Lack of trust in worker and potentially lack of trust in all staff.

3. Launch an ASP investigation.

What makes Prisha so changeable? In what way has this been considered?

What do other staff do to encourage Prisha to open her mouth? Is this a wider cultural problem within the care home?

Has there been similar reports and comments made - either relating to Prisha or Maxine?

Do any other staff pinch Prisha’s ear? Or does it appear to be just Maxine?

Joan needs to consider is Prisha’s response new behaviour or an established pattern?