Updated 28 February 2024
Date of Assessment: 27 March 2024 to 09 May 2024. We found 9 breaches of legal regulations in relation to safe care and treatment, safeguarding people from abuse, the premises and equipment being unsafe, people being supported with person centred care, people being treated with dignity and respect, consent to care and treatment, safe staffing, the recruitment of staff and governance arrangements. The provider did not always assess or mitigate risks to people’s health and safety. People were at risk from unsafe medicines administration practices. Care plans and risk assessments in place for people were not always detailed. Staff did not raise concerns about people’s support in a timely fashion. The provider was not ensuring the environment at the service was safe. Staff were not keeping the service clean and people were at risk of poor IPC practices. Staff were not having their training checked to make sure they were competent to support people effectively. They were not being supported to discuss and improve their practice. Staff deployment at the service was not safe. People were not being treated with dignity and respect. Staff were not supporting people to be supported in line with their preferences. People were not being supported to talk about how they wanted to achieve their goals and ambitions. The provider did not ensure people consented to all aspects of their support. The provider was not completing audits to monitor the quality of the service in key areas. The governance systems in place at the service were not effective in identifying areas for improvement and taking action to improve the service. There was a poor culture at the service. There had been little improvement at the service since our last inspection. 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 representation and/ or appeals have been concluded.