Updated 19 December 2024
Date of Assessment: 20-29 January 2025. The service is a residential care home providing support to older people some of whom were living with dementia. This was a comprehensive inspection carried out to follow up on action we told the provider to take at the last inspection and to review all key questions to provide a new rating. Medicines were not managed safely and medication reviews and audits were not always effective however the registered manager did investigate and report safety events. This was a breach of regulation 12 safe care and treatment. Records of care and support were completed inconsistently and, in some care plans, key information was missing. People's needs were assessed, however, care plans did not reflect current updates to people’s needs. This was a breach of regulation 12 safe care and treatment. People were safeguarded from the risk of harm and abuse. There were good links with the local GP surgery and clinicians had access to information about people’s needs. Staff treated colleagues from other organisations with kindness and respect. Staff were caring and considerate when supporting people who were upset and distressed. People were supported and encouraged to make choices and maintain their independence at mealtimes. The care environment was homely and dementia-friendly but we did observe, on the day of inspection, care was not always person centred. Meetings took place with residents and relatives and experiences and views were listened to. Care plans evidenced discussions had taken place about end-of-life care and support. Governance, audits and reviews of medications administration and management of controlled drugs were not effective and put people at risk of harm. This was a breach of regulation 17 good governance. The provider worked towards an inclusive and fair culture by improving equality and equity for people who work for them. We have asked the provider for an action plan in response to the concerns found at this assessment.