Updated 29 April 2024
The assessment took place between 13 June and 26 June 2024. We undertook this assessment following information received about the quality of care provided, in particular how the service managed people’s falls risks, nutritional needs, skin needs and medicines. We found three breaches of the legal regulations in relation to safe care and treatment, premises and equipment and good governance. The provider had not made enough improvements to ensure systems and processes in place to identify safety risks to keep people safe from the risk of harm were robust, since our last assessment. Governance systems and oversight had not improved enough to demonstrate safety was effectively managed. We found new concerns in the safety of the environment, care plans and risk assessments, managing risks, medicines management, managing incidents and accidents, and recruitment procedures. However, people were treated with kindness and compassion and felt safe. In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded.