Updated 13 May 2024
Date of assessment: 20 June to 09 July 2024. This assessment was carried out in response to information we had received about the service. We reviewed 11 quality statements under the key questions of safe, effective and well led. People were supported to remain safe. The provider had policies and procedures in place for safeguarding to protect people from the risk of abuse. Staff understood their responsibilities to keep people safe. Staff were recruited safely and the environment and equipment were well maintained. The provider ensured learning was shared with staff at regular meetings. However, improvements were required to ensure timely actions were taken when issues were identified and that there was effective oversight of delegated tasks. Risks associated with people’s health conditions were not always recorded, which meant staff did not always have information to guide them in providing the correct support. Further work was required to embed the principles of the Mental Capacity Act (MCA). Staff were not always effectively deployed. We identified a breach of regulation in relation to governance. We have asked the provider for an action plan in response to the concerns found at this assessment.