Cocoon Residential Rehab

This meant we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture.

At our last assessment we rated this key question as good. At this assessment the rating has changed to requires improvement.

The service was in breach of regulation 17 in relation to good governance. Leaders did not ensure governance processes were in place. Leaders did not have oversight of medication administration processes and did not ensure incidents were investigated. Leaders did not have oversight of staff training, supervision or appraisal compliance. Safeguarding processes were not always robust.

This meant the service management and leadership was inconsistent. Leaders and the culture they created did not always support the delivery of high-quality, person-centred care.

However, leaders responded to concerns found during inspection and developed an action plan to address the issues we found.