4, 11 September 2013
During a routine inspection
We found that people's privacy and independence were not respected. People's views were not taken into account in the way the service was delivered.
Before people received treatment they were asked for their consent. People who used the service told us that they had consented to the project.
We spoke with people who used the service and they told us that they felt the service was very 'rigid.' One person said, 'We need structure but there's no flexibility.' Another person said, 'The structure does not fit in with how I look after my baby.'
People who used the service were not protected from the risk of abuse, because the provider had not taken reasonable steps to identify the possibility of abuse and prevent abuse from happening.
We found that staff were not trained in the safe handling of medication. Some staff were currently undertaking this course. We found that the storage of medication was not secure.
We found that the provider had an effective recruitment procedure in place. Appropriate checks were undertaken before staff began work.
We spoke with staff who told us that they had not received training for some time. Staff also told us that they used to have one to one sessions but they have not had them for a while.
The provider did not have an effective system in place to regularly assess and monitor the quality of service that people receive. People were not consulted about changes within the service.