Updated 10 April 2024
Date of assessment 25 April to 18 November 2024. This assessment was planned to check improvements had been made following our last ratings inspection in November 2022. We assessed 10 quality statements across the key questions of safe, effective, caring and well led. The provider had made significant improvements since our last assessment and there were no longer any breaches of legal requirements. The overall rating had also improved from Requires improvement to Good. People had personalised care plans which were reviewed regularly and detailed the support people needed to stay safe. This included supporting people who may experience delirium or emotional distress. People were supported to manage their health and wellbeing. For example, people had been supported to access vaccinations in preparation for the winter season. The provider had made positive improvements to the internal environment. For example, the flooring had been replaced in areas throughout the service. The provider had robust systems and processes in place to report, investigate and learn from accidents and incidents, to safely recruit staff and to support safety and continuity of care for people. The provider worked effectively with external health and social care agencies to ensure people’s care was well co-ordinated. There were enough staff to meet people’s needs and there was a robust induction and training programme in place to ensure staff were suitably skilled. The provider had a strong learning and improvement culture which was evidenced in the improvements made since our last assessment. Quality assurance audits were used effectively to review the performance of the service, manage risk and drive improvement.