15 November 2021
During a routine inspection
- The service had enough staff to care for patients and keep them safe. Permanent staff had training in key skills, understood how to protect patients from abuse, and managed safety well. Staff assessed risks to patients, acted on them and kept good care records. The service managed safety incidents and learned lessons from them.
- Staff provided good care and treatment. Staff worked well together for the benefit of patients and supported them to make decisions about their care. Key services were available to suit patients' needs.
- Staff treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions.
- The service planned care to meet the needs of local people, took account of patients’ individual needs. People could access the service when they needed it and did not have to wait too long to access treatment at the service.
- 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.
However:
- While there were risk assessments in place, we found these had not been updated within their recommended timescales. No up to date fire risk assessment was in place and fire drills had not been undertaken within the last year.
- Policies available to staff on site had not been updated within their recommended timescales. Not all policies were comprehensive or included reference to relevant guidance or local information.
- The leadership structure at the service was not always clear.