During an assessment under our new approach
We assessed 32 quality statements across safe, effective, caring, responsive and well-led key questions. We carried out our planned off-site assessment on 28 August to 2 October 2024.
The provider and managers had created a culture and systems to promote a person-centred care experience. People saw the same staff regularly and at agreed times. Staff did not feel rushed, and they felt supported by the management who were available if they needed advice and assistance in their work.
However, the management team and provider lacked an understanding of what effective risk assessments and management of risks looked like. They also needed to improve their understanding of the Mental Capacity Act (MCA) and how to apply it. This placed people at potential risk of harm. The management team and provider did, however, listen to our feedback, and gave us verbal assurances improvements would be made.