Updated 5 July 2024
We completed this assessment between 3 and 17 September 2024. The provider had failed to ensure people were supported to live independent lives or access meaningful and person-centred activities. Risks were not always managed well. Aside from falls, incidents were not always investigated with actions taken on how to reduce further occurrences. Falls were investigated with actions taken to reduce further risks. The provider did not ensure sufficient suitably qualified, skilled and competent staff were deployed at the service to meet the needs of people. Incidents of anxiety were not always recorded in sufficient detail to look for trends and themes in order for incidents to be reduced. Improvements were needed around infection prevention and control practice. People were not always given choices around their care and support offered was very task focused. There was a lack of management and provider oversight to review the safety and quality of care to make improvements. The provider did not focus on people's quality of life, and care delivery was not person-centred. The provider and staff did not recognise how to promote people's rights, choices or independence. We found six breaches of the legal regulations in relation to person centred care, dignity and respect, people consent not always being sought, safe care and treatment, staff training and competence and governance. 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. 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.