Updated 16 May 2024
Date of assessment 20 May 2024 to 7 June 2024. This was a responsive assessment completed following concerns being raised about the care and support people were receiving and management of risk. We assessed a total of 20 quality statements from all 5 key questions and found significant shortfalls in the quality of the care being provided. We found 2 breaches of regulation relating to safe care and treatment and the management of the service. We found infection control risks were not being managed, some areas of the service were dirty. People and staff did not always have access to handwashing facilities, leaving people at risk of infection. Medicines were not managed safely, including medicines not being stored at the correct temperature. Potential risks to people’s health and wellbeing had not been consistently assessed and staff did not have guidance to mitigate these risks. There were no effective systems and processes in place to assess and monitor the quality of the service. Some checks had been completed but these had not identified the shortfalls found at the assessment. Some areas such as care plans had not been checked to make sure they were accurate and contained detailed information about people to enable the planning and delivering of care. There was no evidence staff practice had been checked to make sure they were competent. There was no effective system in place to analyse accidents and incidents to identify patterns or trends and take action to reduce the risk of them happening again. There were no processes in operation to continuously learn, innovate or improve the service.