30 September 2021
During a routine inspection
People’s experience of using this service and what we found
The service did not have any audits in place as advised within their own quality assurance policy. Issues found within the inspection had not been identified within any quality checks or actions plans by the provider.
Relatives told us they felt the service was very good, they had no complaints. Relatives confirmed communication from staff was good.
Staff were positive about the service however they had not received supervision to help support them in their role.
We have made a recommendation to help improve the management of supervision and induction for new staff.
Staff told us they regularly carried out their own testing for COVID-19. The provider had not carried out any routine monitoring in recording testing and there was no oversight to check staff were consistently doing tests on a weekly basis. The registered manager took appropriate action during the inspection to improve records and management of necessary testing.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests the policies and systems in the service supported this practice.
Rating at last inspection
This service was registered with CQC on 3 October 2019 and this is the first inspection.
Why we inspected
This was a planned inspection based on our approach to inspecting newly registered services.
Follow up
We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress.
We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.