Updated 25 July 2024
Date of assessment 31 July to 19 August 2024. We carried out an assessment following concerns raised about the escalation of, and response to, safeguarding issues. We found safeguarding referrals had not always been raised in a timely manner. Safeguarding investigations had been overly prolonged. Prompt action was not always taken in response to investigations. Measures to mitigate risk were not clearly defined. It was unclear how long these measures would be needed. Some areas of the service required updating and redecorating. While this had been identified there was no process for identifying which improvements should be prioritised. There were enough staff to support people. Training was largely up to date although training in the Mental Capacity Act and Deprivation of Liberty Safeguards was not. Feedback from external professionals was positive, all commented the registered manager and staff were knowledgeable about the people they supported and worked well with other agencies. One commented; “We as a care home team feel the service is well run with clear values to maintain the independence of their residents in the least restrictive way. The whole care team is well led and supported by the manager and [their] deputy, and they are both visible members around the home engaging with all the residents and assisting with their care needs.” We identified a breach of the regulations in relation to governance. We have asked the provider for an action plan in response to the concerns found at this assessment.