During an assessment under our new approach
Date of assessment: 29 August 2025 – 14 October 2025.
The reason for this assessment was due to concerns we received about the service.
The quality of the service has declined since our previous inspection. The provider was in breach of the legal regulations relating to recruitment procedures and the governance of the service. We have asked the provider for an action plan in response to the concerns found at this assessment.
Effective quality assurance processes were not in place to support continuous learning. Omissions were found in some daily monitoring charts, care plans and risk assessments. However, the provider and new manager were responsive to feedback. They were committed to learning from the findings of the assessment and from their own recent reviews of the quality of the service.
The provider did not have a fully robust recruitment process in place to ensure that all required information about potential employees was obtained.
Staff were not always provided with full information about people’s care and treatment, including information provided by other professionals. Risk assessments were not always person-centred. We found no impact and the service was in the process of reviewing and updating all care plans and risk assessments.
Staff understood their safeguarding responsibilities. Environmental risk assessments were completed. The provider assessed and managed the risk of infection. Medicines were generally managed safely, however, time critical medicines were not always administered due to the timings of care calls.
Staff had received up to date training in best practice methods of support and had their competencies checked. The provider valued diversity within the workforce and staff development. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.