9 February 2017
During a routine inspection
The was a registered manager in post who was also the provider. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Risks to people had not always been assessed and plans of care had not been developed to provide direction for staff in how to mitigate the risks to people. However, staff knew people well and had adjusted the care that they provided to people in manage the risks to them.
People could not be assured that they would receive their medicines safely. Staff had not received training the safe administration of medicines and the records pertaining to the medicines that staff should administer were not always accurate.
The provider had not considered the competencies and skills of the staff providing care to people. Staff did not have access to regular or appropriate training and did not have the skills that they required to provide care safely.
Staff did not have access to formal supervision to provide them with effective support and professional development.
Quality assurance systems had not been developed or implemented by the provider which had resulted in the shortfalls that we identified during this inspection failing to be identified or addressed.
People’s health and well-being was monitored by staff and they were supported to access relevant health professionals in a timely manner when they needed to. People were supported to have sufficient amounts to eat and drink to help maintain their health and well-being.
People received care and support from staff that knew them well. Staff provided people with dignified care and support in line with their preferences.
The registered manager was a visible role model in the service and motivated staff to provide person centred, quality care and support.
At this inspection we found the service to be in breach of three regulations of the Health and Social Care Act 2008 (Regulated activities) Regulations 2014. The actions we have taken are detailed at the end of this report.