Updated 10 April 2024
Date of assessment 29 April to 17 May 2024. We carried out this assessment to follow up on breaches of regulation found at the last inspection in October 2023, when the service was rated Inadequate. Breaches related to the management of risks to people, staffing, medicines management and quality assurance. During this assessment we found that the service had improved, and the provider was no longer in breach of regulations. Many areas of safety had improved since the last inspection and people now received safe care. These included the management of risks to people’s health and wellbeing, medicines, accidents and incidents, cleanliness of the home environment and staff recruitment. Staffing levels were appropriate to meet people’s needs and staff had the knowledge and skills to keep people safe. Processes were in place to learn lessons when things went wrong. The assessment of people’s needs had improved since the last inspection. Care plans and risk assessments were in place to guide staff about how best to support people to meet their needs. However, we found that some care plans could benefit from additional information about people’s healthcare needs and not all relevant care plan sections were updated when people’s needs changed. People's consent had been sought regarding their care and treatment. When people were unable to make decisions about their care, or their liberty was restricted to keep them safe, mental capacity assessments had been completed and best interests decisions made, in line with the Mental Capacity Act 2005. Management and oversight at the service had improved since the last inspection, and we found the service was now being managed well. Quality assurance checks were now effective in identifying areas requiring improvement and any action needed was monitored regularly for progress. A new registered manager was in place who had made many improvements and the provider’s oversight of the service had improved significantly.