7 March 2019
During a routine inspection
Why we inspected:
This was a scheduled inspection to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Rating at last inspection:
This is the first rating inspection of this service.
People's experience of using this service:
• Governance systems and audits were not effective in identifying where improvements were needed. The provider did not have processes in place to measure, document, assess and evaluate the quality of care.
• A person and people’s relative’s told us they were happy with the care people received.
• Staff training was not thorough or well organised and did not fully protect people from unsafe care.
• People were protected against abuse, neglect and discrimination. Staff ensured people's safety and acted when necessary to prevent any harm.
• People's rights to make their own decisions were respected.
• People's dietary needs were assessed and where required people were supported with their meals.
• People received caring and compassionate support from the staff.
• Staff respected people's privacy and dignity and peoples independence was recognised.
• People's care was personalised to their individual needs.
• The service met the characteristics for a rating of “requires improvement ” in some key questions and requires improvement overall.
Enforcement:
At this inspection we found the provider to be in breach of one regulation of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Action we told provider to take is recorded at the end of the report.
Follow up:
We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk