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Inspection report

Date of Inspection: 20, 21 August 2013
Date of Publication: 5 October 2013
Inspection Report published 05 October 2013 PDF

Overview

Inspection carried out on 20, 21 August 2013

During a routine inspection

We carried out this inspection because our last inspection on the 30 August 2012 showed that the provider was not complying with a Regulation of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010. This was because people who use the service were not protected from risk of abuse as the provider had not taken steps to ensure allegations of abuse were responded to appropriately.

We imposed a compliance action so that the provider would make improvements to safeguard people from abuse. The provider sent us an action plan stating they would achieve compliance by June 2013.

At this inspection of the service we found that the provider had not met the compliance action and had failed to ensure that risks to people were minimised. This is being followed up and we will report on any action when it is complete.

During our inspection we spoke with four members of staff as well as two student nurses. We also met with the sector manager, who is referred to as the manager in this report. On the second day the senior nurse manager was present during the inspection. We were unable to speak with most of the people using the service as they had complex needs and were unable to share their experiences with us.

We found that the systems for monitoring incidents that had occured at the service did not identify risks. Records relating audits were inaccurate and did not reflect what had occured in the service. Some staff records were also inaccurate.