Updated 3 October 2024
We completed the assessment between the 14 and 16 October 2024. The provider had failed to ensure that people’s health risks were well managed, or that people were supported by suitably qualified and competent staff. Risks to the environment, including infection prevention and control risks were not well managed. Medicines had not been managed safely. People were not treated with dignity, kindness and respect. There was a lack of effective oversight of the service, to identify and make improvements. Audits and checks that were completed had not identified the serious and widespread issues within this assessment. We found significant shortfalls across the service and identified 7 breaches of regulation including, providing people with person centred care, dignity and respect, need for consent, safe care and treatment, staffing, safeguarding and good governance. We took urgent action to prevent the provider from taking new admissions, or re admissions without the written agreement of CQC. We placed conditions on the provider’s registration for them to send us action plans advising us how they planned to improve the service. This service is being placed in special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we user our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide. In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/or appeals have been concluded.