Updated 22 February 2024
The inspection was prompted in part by concerns about the management of the service. We carried out our on-site assessment on 15 March 2024 and 4 April 2024, off site assessment activity started on 22 February 2024 and ended on 25 April 2024. At our last inspection we rated the service requires improvement overall. At this assessment we identified further concerns and the service remains requires improvement . We found five breaches of the regulations in relation to person-centred care, safeguarding, governance, staffing and recruitment. There were not enough staff to provide care and support, staff did not have access to training. Pre-employment checks had not always been completed. Due to the low numbers of staff people did not receive care and support in line with their preferences and needs. This sometimes put people at risk of abuse and/or harm. 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. We have asked the provider for an action plan in response to concerns found at this assessment. We looked at 15 quality statements; Learning Culture, Infection Control, Involving People to Manage Risks, Safe and Effective Staffing, Safeguarding, Independence Choice and Control, Kindness Compassion and Dignity, Person-Centred Care, Providing Information, Listening to and Involving People, Equity in Experiences and Outcomes, Governance Management and Sustainability, Freedom to Speak Up, Capable Compassionate and Inclusive Leaders and Workforce Equality Diversity and Inclusion.