16 July 2013
During an inspection looking at part of the service
We saw that people's needs and risks to their safety had been assessed. However, actions to reduce these risks had not always been identified or implemented. There were a lack of meaningful activities for people to participate in.
Staff demonstrated a good knowledge about the subject of safeguarding vulnerable adults and we were assured that any concerns would be reported to the appropriate authorities.
The service was unclean and unhygienic. The provider was not following their own policies in respect of cleanliness and infection control. The premises were poorly maintained. We could not be assured that medication was being administered safely.
Staff were being supervised but we did not see evidence that they had received the necessary training to ensure that they had sufficient skills and experience to provide care to the people who used the service.
The provider was continuing to fail to effectively monitor the quality of the service to protect people from unsafe or inappropriate care or treatment. Some records that were kept by the service were inaccurate or could not be produced when required.