19 February 2019
During a routine inspection
People’s experience of using this service:
Risks relating to people’s nutritional intake were not managed appropriately.
There were no effective systems in place to consistently monitor and assess the safety and quality of service being delivered.
Staff had not completed all of their required training and there was no additional training in mental health available to staff.
Notifiable incidents were not reported in line with the regulations.
Medicines were not always being managed in line with current practice.
Staff had a good understanding of safeguarding people and there were safe recruitment practices in place for new staff.
There were consistently enough staff to meet people’s needs and staff were quick to respond to people.
People spoke positively about their care and how the service was run. Staff treated people in a respectful way.
People were given the opportunity to engage in activities of their choosing.
Staff worked in partnership with other agencies and links were forged and maintained with the wider community.
More information is in the full report.
We identified three breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 relating to Meeting nutritional and hydration needs, Good governance and Staffing. We also found one breach of the Care Quality Commission (Registration) Regulations 2009 relating to Notification of other incidents.
Rating at last inspection: This is the first inspection of this service.
Why we inspected: This was a planned inspection based on the service having been registered for one year.
Follow up: We will continue to monitor the service in line with our schedule for services with a requires improvement rating.