4, 9 December 2013
During an inspection looking at part of the service
A high proportion of people who used the service had complex needs which meant they were not able to communicate with us verbally. Therefore, we spoke with staff about the service and observed their practices.
We found that people's needs were assessed and care and treatment was planned and delivered in line with their individual care plan.
We spoke with staff who were knowledgeable about medication. We concluded that medicines were safely administered.
We considered that suitable appraisal and supervision arrangements were not fully implemented at the time of our visit and staff did not always receive appropriate training to support their professional development.
We concluded that an effective system was not fully in place to identify, assess and manage risks to the health, safety and welfare of people.