During an assessment under our new approach
Date of Assessment: 9 and 11 June 2025.The service is a care home without nursing providing support to older people, people with dementia, physical disabilities and sensory impairments. This assessment took place due to concerns received about people’s safety, management of medicine, care and risks, and governance oversight at the service.
At our last inspection, the service was rated requires improvement and was in breach of 3 legalregulationsin relation to safeguarding, good governance, and fit and proper persons employed.
At this assessment, we found continued breaches of legal regulations in relation to safeguarding, fit and proper persons employed, and good governance. We found new breaches of legal regulations relating to medicine management, staffing, and duty of candour.
The provider and the registered manager did not always demonstrate they had robust quality assurance systems and governance processes which operated across all levels of the service. The provider and the registered manager did not always ensure there was a good learning culture.The provider and the registered manager did not always ensure safeguarding procedures were followed and any allegations or incidents were reported to external agencies accordingly.The registered manager did not always ensure they and the staff team consistently managed and recorded risks to people’s health and welfare.The registered manager did not always ensure there was effective staff deployment as they did not always have full oversight of staff training and people’s support needs.The staff did not always receive consistent training, supervisions and regular appraisals.Management of medicines was not always safe and not supported with consistent clear records.Effective recruitment processes were not in place to ensure, as far as possible, that people were protected from unsuitable staff being employed.People and relatives could raise concerns or complaints and provide feedback. However, staff were not always encouraged to be actively involved in the development and continuous improvement of the service.
Staff ensured people were protected from the risk of acquiring an infection during the provision of their care. The facilities and equipment were clean and well-maintained for infection risks to be mitigated. Staff supported people to access different services and support from health and social care professionals to promote and achieve positive outcomes for people.
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