24 January 2022
During an inspection looking at part of the service
As this was a focused inspection on specific areas of our safe and well led key questions, we inspected but did not rate this service.
We found:
- Training was not comprehensive, and the registered manager did not have an effective system in place to monitor mandatory training to ensure staff kept up to date with their mandatory training.
- There had been changes to the design, and use of facilities, premises, vehicles and equipment.
- The service had enough staff; however, the registered manager could not demonstrate that staff had the right qualifications, skills, training and experience to keep patients safe from avoidable harm and to provide the right care and treatment.
- The service was led by the registered manager. The registered manager was visible and approachable in the service for staff and patients.
- The registered manager did not operate effective governance processes throughout the service.
- The services information systems were not easily accessible.
However:
- The registered manager managed performance and had risk processes in place to cope with unexpected events.