Updated 18 June 2024
Date of assessment 28 August to 13 September 2024. We carried out this assessment in response to enforcement action that we had taken against the service at our previous inspection in August 2023. The service was performing badly at the time of our previous inspection. We served the provider a warning notice under Section 29 of the Health and Social Care Act 2008. The Warning Notice told the provider they were in breach of Regulations 12 Safe Care and Treatment and Regulations 17 Good Governance, and gave the provider a timescale to make improvements to achieve compliance. We inspected seven quality statements across the safe, effective, responsive and well-led key questions. Following this inspection, there was no change in rating, as inspectors only looked at compliance with the previously issued Warning Notice. The service had made all of the required improvements in response to the warning notice. Staff made improvements to infection control processes. The service ensured that medicines and treatments were safe and met people’s needs, capacities and preferences. There were effective systems in place for recording and investigating clinical incidents that occurred in the service, and processes were in place for sharing any learning with staff. There was evidence that staff were competent for particular clinical skills. Staff supported patients to make informed decisions about their care and treatment. There was an effective complaints system in place that was accessible to patients. There were improved governance processes, and a positive culture.