21, 22 January 2014
During an inspection looking at part of the service
We received an action plan from the provider to tell us that they would be compliant with all outcomes by 31 December 2013.
At the time of our inspection there were 9 people living at the home. During our inspection we spoke with the registered provider and five members of staff. There was no registered manager employed for this service at the time of this inspection.
We saw that staff treated people in a kind and gentle manner respecting their dignity at all times. However, we found that there was a lack of understanding of the use of the Mental Capacity Act 2005, for people who did not have the capacity to make decisions.
We found that people's needs were assessed, however care and treatment was not always planned in line with their individual needs. Risk assessments for people were not always individualised and often lacked clarity or provided conflicting information.
We found that there were not effective systems in place to reduce the risks and spread of infection. A recent outbreak of infection in this home had been managed by staff without direction or leadership and there were no clear records to support this work.
During this inspection we found that people were not protected against the risks associated with medicines because the provider did not have appropriate arrangements in place to manage medicines.
The provider did not have an effective system to regularly assess and monitor the quality of service that people receive.