Updated 30 September 2024
Date of assessment: 21 October to 29 October 2024. This assessment was in response to CQC receiving information of concern. We found 4 breaches of the legal regulations relating to safe care, governance, staff training and safeguarding. Improvements were required for the management of safety incidents, safeguarding and care plans and risk assessments. Records were not always accurate, and audits and checks were not always effective at identifying areas for improvement. Provider policies were not always followed. The service did not ensure people were getting their medicines correctly and on time. Documentation was not clear to show all prescribed items were being administered as prescribed. Not all staff had completed mandatory training to carry out their role safely, and staff had not been provided with training to meet people’s specific clinical needs. An interim manager had been recently appointed to drive improvements at the service. Staff were positive about the new leadership team and felt able to raise concerns with them.