Updated 17 May 2024
We carried out our onsite assessment on 29 May and 6 June 2024. Offsite assessment activity started on 31 May 2024 and ended on 14 June 2024. We assessed all quality statements in the safe and caring domains which means we have been able to change the ratings of these domains to reflect improvements identified during this assessment. We assessed 3 out of a possible 7 quality statements in the well-led domain which means we have been able to change the rating of this domain to reflect improvements identified during this assessment. We assessed 2 out of a possible 6 quality statements in the effective domain, and 2 out of a possible 7 quality statements in the responsive domain. We did not assess enough quality statements within these 2 domains to change the ratings for these domains. Under our new methodology, the scores for these areas have been combined with scores based on the key question ratings from the last inspection. The overall rating for the service has improved from ‘inadequate’ at the previous inspection, to ‘requires improvement’ at this assessment. At the previous inspection, breaches were identified in relation to person-centred care, treating people with dignity and respect, safeguarding, safe care and treatment, staffing, recruitment and governance. At this assessment, improvements were identified in relation to person-centred care, treating people with dignity and respect, safeguarding, staffing, recruitment and governance. We also identified improvements in relation to the provision of safe care and treatment, however, we did identify some concerns regarding the administration of medicines. There was a new manager in post who had made improvements, but these needed to become embedded and maintained. We have asked the provider for an action plan in response to the concerns found at this assessment.