Updated 27 May 2025
Date of assessment 11 to 13 August 2025. Sister Winifred Laver Promoting Independence Centre provides accommodation with personal care for up to 60 people. When we inspected 9 people were living there, 2 of whom were new admissions. The provider had made progress since the last inspection and was no longer in breach of regulations relating to safe care and treatment, staffing and person-centred care. There was a continuing breach of regulation relating to good governance. This was due to care plans and risk assessments requiring further development, so they were accurate and fully reflected people's rehabilitation needs, preferences and outcomes. The consistency and quality of audits had improved. Although, whilst audits were now identifying areas for improvement, they had not successfully addressed the shortfalls in the quality of care planning.
The daily 'huddles' and handovers included professionals to help promote consistent information sharing.
Mental Capacity Act (MCA) assessments and best interests decisions were now being completed for decisions where people lacked capacity to consent. The provider now had implemented a structured approach to investigating and analysing incidents and accidents. Management were starting to identify trends and learning from their investigations. However, a more detailed analysis was required to identify and address the root cause of incidents.Safeguarding concerns were now being reported and investigated in a timely way.
There were enough staff deployed to meet people's needs. New staff were recruited safely. Staff gave mixed feedback about communication, support and teamwork. However, they acknowledged improvements had been made since the last inspection. Risk assessments were now being completed. However, some needed further development to clearly identify the measures required to reduce the impact of potential risks. This service has been in Special Measures since 17 March 2025.
The provider demonstrated improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.