We did not undertake a site visit for this inspection
During an inspection looking at part of the service
This report focusses only on breaches of regulation detailed in the Requirement Notice we issued in January 2019, following a joint inspection with Ofsted in October 2018. At the time we found that:
- Most staff were not fully compliant with all mandatory training, including immediate life support (ILS) and fire safety training.
- The healthcare team at carried a large number of vacancies, including three out of five registered general nurse posts, which was impacting on care, including access to healthcare professionals and some interventions, such as group sessions.
During this desk based focused review, we found that the provider had made the following improvements;
- Staff were 97% compliant with mandatory training. All had completed fire safety training, and the one team member with outstanding ILS training was scheduled to complete it.
- All but one healthcare team vacancy had been filled, and additional clinical session work meant that young people had improved access to a range of services.
- The Named Nurse system was working effectively and was supported by other initiatives to ensure that information was shared promptly regarding young people with significant health concerns.
- A dedicated on-site head of service and management team had been put in post to provide daily oversight and support to the healthcare team.
- Wellbeing groupwork had recommenced, initially focussing on relaxation and mindfulness to support the mental health of the young people at the centre.