During an assessment under our new approach
We carried out an onsite and offsite assessment. Activity started on 18 April 2024 and ended on 18 June 2024, and included out of hours visits. We gathered information from people using the service, relatives, 2 directors, the registered manager, staff and from health and social care professionals involved with the service. We looked at all 34 quality statements.
People were supported to have maximum possible choice, control and independence. People appeared happy with the service. Relatives felt people were safe, but some had mixed views about overall practices at the houses. The differences were not global but specific to individual houses. The provider surveys identified similar themes. People reported staff treated people with dignity and kindness.
Systems were in place to oversee the service delivery at times these had not been effective. For example, risks were assessed, and action was taken to reduce risk, but the assessments and support plans were not always up to date, accurate and clear. Some gaps in medicine administration practices had not always been picked up by the provider’s own audits. The lack of stability of management had contributed to the timeliness of addressing these matters. The new registered manager was now fully aware of issues and actively ensuring improvements were made.