Updated 22 May 2024
The on-site assessment was prompted in part by concerns raised by the local fire service about fire safety and the cleanliness of the service. We found there were concerns around the tidiness of the environment and the systems in place to ensure the premises were kept clean and safe. We also identified shortcomings in recording systems. Quality audits were completed but these were not consistently robust. We identified two breaches of regulations in relation to the premises and the management of records and deployment of staff. We observed staff were kind and inclusive in their approach to care. There was a stable staff team in place who had good working relationships with the manager and each other. New staff completed an induction which included training. This was refreshed and updated regularly and underpinned by spot checks and competency checks. We looked at 11 quality statements; Learning culture, Safe systems, pathways and transitions, Safeguarding, Involving people to manager risks, Safe environments, Safe and effective staffing, Infection prevention and control, Medicines optimisation, Independence, choice and control, Equity of experiences and outcomes and Governance, management and sustainability.