29 April 2019
During a routine inspection
People’s experience of using this service:
People did not always receive a service that provided them with safe, effective and high-quality
care and were not always provided with support that was personalised to them. Despite this, parents of children and young people were happy being supported by KIDS Smile Centre and parents told us they felt their child or young person was safe. People were supported by staff who were kind and caring.
The provider lacked effective governance systems to identify concerns in the service and drive the necessary improvement. At times there was a lack of clear and accurate records regarding people’s support and any potential risks to them. Accidents and incidents were not always analysed sufficiently to ensure risks were reduced for people.
Parents of children and young people felt able to speak to the management team if they had any concerns. Young people’s human rights were upheld, and care staff understood the principles of the Mental Capacity Act 2005.
Staff were not always supported with regular supervision or appraisal however, staff told us they felt well supported by the registered manager and had enough training to undertake their roles effectively.
Parents of children and young people felt they did not know the registered manager and felt communication with the office could sometimes be difficult.
The acting manager demonstrated a willingness to make improvements.
Rating at last inspection: Good (Report published 30 December 2016)
Why we inspected: This was a planned inspection based on our last rating.
Follow up:
We identified two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and made three recommendations.
We will request an action plan from the registered provider about how they plan to improve the rating to good and in addition, we will monitor all information received about the service to understand any risks that may arise and to ensure the next planned inspection is scheduled accordingly.
You can see what action we told the provider to take at the back of the full version of the report.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk