Updated 7 June 2024
Date of assessment: 11 June to 31 July 2024. We completed this assessment in response to concerns about the management of people’s safety. We found 3 breaches of regulation relating to safe care and treatment, safeguarding and the management of the service. Potential risks to people’s health and welfare had not always been consistently assessed, there was not always guidance for staff to follow. Incidents had not always been analysed to identify patterns and action had not been taken quickly to reduce the risk of the incidents happening again. Incidents had not always been recognised and reported as safeguarding concerns. The provider had systems in place to monitor the quality of the service. However, the systems had not been used effectively by the management team. When shortfalls were identified, these were added to an action plan. There had been little action taken to rectify the shortfalls and some actions had not been completed though they had been identified over 6 months previously. Staff had not received regular supervision and had not consistently received training to meet people’s needs. There had not been quality assurance completed yearly following the provider’s policy. People, relatives and staff had not been invited to regular meetings to express their views on the service. Staff were positive about the support they were given by the management team and were confident to raise concerns. Medicines were managed safely and people received their medicines as prescribed.