During an assessment under our new approach
We found the service’s culture was not as good as it could be. Permanent staff knew people well however the high use of agency staff was impacting the care people received. Medicines were not always managed safely, when required medicines were not always recorded in line with best practice. Some care plans for people living with diabetes and Parkinson's were not up to date or fully completed. Lessons had been learned from accidents, incidents and safeguarding incidents, and were shared with staff. Care pathways, assessments and transitions were managed well. People felt safe at the service, however they felt staff were too rushed and were not able to give the best care they could. Consent was sought when providing care, best interest decisions and mental capacity assessments were in place when needed. People’s independence was supported. Staff felt able to speak up to some managers however, they said little action was taken around the most important problems. There were governance systems in place to identify issues however, outcomes and actions taken were not always clear.