I found that the management style varied drastically between the three wards. Nepotism was rife. Staff would have full-blown arguments whilst in the same room as patients. Patients were handled roughly and inconsiderately even during simple personal care administration. RMNs made inappropriate comments to HCAs. Patients are bullied by staff to the point - more ... where other staff will try and stop them with no success. Patients often appear bored and over-medicated. Care plans are badly written and seldom updated. Wards are often understaffed and made up with agency staff who are unfamiliar with the wa ... - less