31 May 2022
During an inspection looking at part of the service
Our rating of this location went down. We rated it as requires improvement because:
- The service could not provide assurance it controlled infection risk consistently well. Records were not always easily available to the registered manager or clinical lead to ensure oversight of the service. We could not gain assurances if managers investigated incidents and shared lessons learned with the whole team.
- Managers did not appraise staff’s work performance or hold supervision meetings with them to provide support and development. Those responsible for delivering care did not always work together as a team to benefit patients.
- We were not assured leaders had the skills and abilities to run the service consistently. They did not always understand and manage the priorities and issues the service faced. Not all staff felt respected, supported and valued by the leadership team. Leaders did not operate effective governance processes. Systems were not in place to manage performance effectively. Managers did not identify and escalate relevant risks and issues, nor identify actions to reduce their impact.
However:
- The service had enough staff to care for patients and keep them safe. Staff had training in key skills, understood how to protect patients from abuse, and managed safety well.