4 March 2019
During a routine inspection
People’s experience of using this service:
Overall people gave positive feedback about the service. People felt safe at the service. People carried on with their usual routines and their choices were promoted. There was not always an appropriate balance however between people’s independence and safety. One person did not always feel they had the privacy they needed. Action was not taken to keep another person safe when their needs could not be safely met. We identified a breach of the regulations because people’s medicines were not managed safely.
Staff told us they felt supported. Lone-working had been phased out, and improvements had been made to the premises to improve the safety of the service. Further improvements were planned, including to the premises, staff training and how incidents were logged. We identified a second breach of the regulations because systems and processes failed to effectively assess, monitor and improve the service.
More information is in the full report.
Rating at last inspection: Good (October 2017)
Why we inspected: This inspection was planned based on the previous inspection rating and was brought forward due to concerns known to CQC about the provider’s other registered services.
Enforcement / Follow up: We identified two breaches of the Health and Social Care Act (Regulated Activities) Regulations 2014 around safe care and treatment and governance. During our inspection, we prompted the provider to address our safety concerns.
We also shared our concerns with the commissioning team that arranges referrals to the service.
We did not take enforcement action on this occasion because shortly after our inspection, the provider submitted an application to de-register. We will continue to monitor this provider and service until the de-registration process is complete.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk