Updated 13 February 2024
Date of Assessment 13 February 2024 to 5 April 2024. The assessment was prompted in part due to concerns received about risks to people and staff culture. A decision was made for us to carry out an assessment and examine those risks. People's risks were managed by staff to keep them safe. There were enough staff available to ensure people's safety and meet their needs. People were protected from the risk of infection. People's risks were managed by staff to keep them safe. People's medicines were administered safely. People were supported by caring staff. Improvements were being made to the culture and running of the service to ensure staff felt supported and people received effective and safe care. However, people did not consistently receive person-centered care and their independence was not always encouraged to enable them to make choices in their care. Monitoring and observations were not specific to people's individual needs. The records did not always contain up to date information to ensure staff were supporting people in line with their medicines and current needs. Audits were not always effectively completed or not in place to ensure shortfalls were identified and action was taken to make improvements. We have identified a breach in regulations with regards to the governance of the care home. We have asked the provider for an action plan in response to the concerns found the assessment. We assessed a total of 8 quality statements from the safe, caring and well-led key questions and found areas of concern. The scores for these areas have been combined with scores based on the key question ratings from the last inspection. Although the assessment of these 8 quality statements indicated areas of concern since the last inspection, our overall rating remains good.