Updated 5 November 2024
This assessment took place between 7 and 14 November 2024. The assessment was carried out following concerns about the oversight of the service. We assessed all quality statements under the 5 key questions, Safe, Effective, Caring, Responsive and Well-led. We identified 5 breaches of the regulations in relation to person-centred care, safe care and treatment, management and oversight of the service, staffing and a failure to submit statutory notifications. Some people did not have care plans and information in care plans was not always an accurate reflection of people’s needs. Risks and medical concerns were not consistently escalated. The service was not well staffed and care was task based. Quality assurance systems and audits were not effective. One of 2 registered managers had recently left the service. The remaining registered manager was not based locally and had limited knowledge of the service and did not have an understanding of people’s needs. At the time of the assessment visits the deputy manager was on leave and there was only one senior working. Staff told us morale was low and they did not feel well-supported. Some staff felt they were being asked to complete tasks they were not confident doing due to the lack of a skilled management team or seniors. 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. This service is being placed in special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we user our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide.