15 February 2022
During a routine inspection
We do not rate this service. We found:
- The service had enough staff to provide the right level of service. Staff had training in key skills and managed safety well. The service controlled infection risk well. Staff assessed risks, acted on them and kept good records. They managed medicines well. The service managed safety incidents well and learned lessons from them.
- Managers monitored the effectiveness of the service and made sure staff were competent. Staff worked well together for the benefit of patients and had access to good information. Limited key services were available seven days a week. Services were available to support timely care.
- The service was planned to meet the needs of local people.
- Leaders had the skills and abilities to run the service using reliable information systems and supported 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. Staff were clear about their roles and accountabilities. The service engaged well to plan and manage services and all staff were committed to continually improving services.
However;
- There was a failure to inform CQC of incidents which is a legal requirement of the regulations. The registered address of the head office and website address were incorrect. The statement of purpose was incorrect and had not been updated.