Woodroffe Benton House

During an assessment under our new approach

Date of assessment, site visits took place on 22 Aug, 27 Aug, and 05 Sept 2024, off site assessment activity ended on 18 Sept 2024. We assessed this service due to medicine management concerns, this is their first assessment, as a result we undertook an assessment of all quality statements. The registered manager oversaw Woodroffe Benton House and another of the provider’s services. They told us of quality assurance processes they had planned to embed but had not yet implemented. Systems did not always instil good practices and learning in response to safety incidents. Some incidents of unexplained bruises to people had not been fully investigated and referred to the local authority safeguarding team. Medicine audits were undertaken, however, action taken in response to concerns were not robust enough to mitigate reoccurrence and reduce errors. Audits did not identify the additional concerns found during our assessment. Staff were recruited safely and mostly received appropriate training and supervision, however, staff who administered medicines had not all been assessed as competent to safely use the newly introduced medicine system. People told us they were happy with the support they received; however, they were not involved with reviews of their care and did not have the opportunity to provide feedback about the service. People were engaged with the programme of activities and could welcome visitors at times to suit them and could use areas of the service or the onsite café to meet their friends and families. We found breaches of regulation in respect of safe care and treatment, safeguarding and governance. You can find more details of our concerns in the safe and well-led findings below. In instances where CQC have decided to take civil or criminal enforcement action against the provider, we will publish this information on our website after any representations and /or appeals have been concluded.

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