11 - 20 January 2022
During a routine inspection
We rated the service as requires improvement because:
- Managers did not always make sure staff were competent to provide safe care through a system of statutory and mandatory training.
- Recruitment practices did not always meet all the requirements as set out in schedule 3 of the Health and Social Care Act 2008 Regulated Activities Regulations 2014.
- The service did not always manage safety incidents well or share evidence of lessons learnt.
- The service did not always have effective systems or processes to assess, monitor and improve the quality and safety of the service.
However:
- The service had enough staff to care for patients and the service controlled infection risk well. Staff kept good care records.
- Staff worked well together for the benefit of patients and supported them to make decisions about their care.
- Staff spoke of the care they delivered in a manner that demonstrated a kind and compassionate approach which protected patients’ privacy and dignity.
- Care was planned to meet the needs of local people, took account of patients’ individual needs, and made it easy for people to give feedback. People could access the service when they needed it and did not have to wait too long to be transferred.
- Leaders understood they needed to develop better systems to run the service well and support staff to develop their skills. Staff understood the service’s vision and values, and how to apply them in their work. Staff felt respected, supported and valued. They were focused on the needs of patients receiving care. Staff were clear about their roles and accountabilities.