28 October 2021
During a routine inspection
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any
wider social care provided.
People's experience of using this service and what we found
Risks to people were not always assessed and people's care records lacked details about their care needs and how these needs should be met.
The provider's audits did not identify where improvements were needed so regulations were met. It was not clear how findings from audits were used to improve the service.
People received their medicines as prescribed although records did not always detail how this support should be given by staff or detail risks in relation to medicines.
People told us they were treated well by kind and caring staff. Staff told us they were well supported in their role and had received training to carry out their role effectively.
Staff knew how to recognise signs of abuse. People were involved in decisions about their care.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This is the first rating of this service. The service was registered with us on 13 May 2020.
Why we inspected
This was a planned inspection as the service had not previously received a rating.
Enforcement
We have identified breaches in relation to safe care and governance at this inspection. Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress.