15 September2021
During a routine inspection
Our rating of this location went down. We rated it as requires improvement because:
- Staff in the service were not receiving regular supervision or an annual appraisal. This was identified as an issue at the last inspection and we saw no improvement at this inspection.
- Staff had a limited understanding of safeguarding processes and procedures.
- Risk management plans did not always address the risks identified and were not updated after incidents.
- Incidents were not always reported in a timely manner and learning was not being disseminated to staff.
- Care plans were not being completed. Care planning was documented in varying ways by staff.
- Staff were planning for discharge towards the end of clients’ treatment with a lack of inter-agency working.
- The service had not maintained the security of non-clinical records as these records could be deleted.
- The governance processes of the service had not ensured that its procedures ran smoothly. Leaders had not ensured that staff were using tools effectively to ensure the service was delivering high-quality care.
However:
- The clinical premises where clients were seen were clean.
- Staff completed a comprehensive assessment of clients’ needs and provided a range of treatments suitable to the requirements of the clients and in line with national guidance about best practice. Staff engaged in medicine audits to evaluate the quality of medicine management.
- The teams had access to the full range of specialists required to meet the needs of clients under their care. Managers ensured that these staff received the appropriate training. Staff worked well together as a multidisciplinary team.
- Staff treated clients with compassion and kindness and understood the individual needs of clients. They actively involved clients and their families, in decisions and care planning.
- The service was easy to access with little or no waiting times.