16 April 2019
During a routine inspection
People’s experience of using this service:
The service failed to manage and mitigate fire safety. We referred the service to the local fire authority
The service failed to have appropriate and detailed evacuation plans in place for staff to follow.
The provider failed to maintain the environment to ensure it was safe for people living in the service. We have recommended a maintenance schedule is implemented to address environmental improvements.
Staff and relatives told us there were insufficient staff in the service.
People's medicines were not managed safely
Mental capacity assessments were not always completed in line with law. We have recommended mental capacity assessments are reviewed.
Staff and relatives told us the service failed to provide adequate and meaningful activities for people
The service was not well led. The provider and management lacked oversight of the service.
Systems were in place to monitor the quality of the service; however, these were not effective and failed to highlight concerns raised during the inspection.
End of life care plans were not always in place for people. We have recommended end of life care planning for people is developed.
The service failed to encourage staff to maintain and develop their knowledge and skills.
Staff respected people's privacy and dignity but failed to interact with people in a caring and compassionate way.
Staff and relatives told us the service failed to provide adequate and meaningful activities for people
Rating at last inspection: Good (report published 20 October 2016.)
Why we inspected: This was a planned inspection based on the rating at the last inspection.
Enforcement: Action we told provider to take (refer to end of full report)
Follow up: The overall rating for this service is 'Inadequate' and the service is therefore in 'Special Measures'. This means we will keep the service under review and, if we do not propose to cancel the provider's registration, we will re-inspect within 6 months to check for significant improvement.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk