During an assessment under our new approach
At this assessment we identified 5 breaches of the legal regulations in relation to dignity and respect, safe care and treatment, managing risk, consent to care and treatment, use of restraint, premises and equipment, safe staffing levels, and management oversight; we also found provider did not notify CQC of all incidents that affect the health, safety and welfare of people who use services.
We were not assured that service users were receiving their medicines safely as prescribed. People’s risk assessments did not always clearly and concisely describe how to mitigate them. We were not assured that the use of restraint and restrictive practices were only used when necessary, proportionate and regularly reviewed. Best interest decisions were not completed for all decisions pertaining to care and support where a service user lacked mental capacity to consent. Staff, people, and their relatives told us there were not always enough staff deployed. Staff did not always ensure service users privacy and dignity was maintained. Staff did not always feel supported by the management and the organisation. Managers did not have oversight of the service to monitor quality and safety.
Where CQC have decided to take civil enforcement action against a provider, we will publish this information on our website after any representations and/or appeals have been concluded.