12 July 2022
During a routine inspection
Our rating of this service improved. We rated it as good because:
- The service had enough staff to care for patients and keep them safe. The service controlled infection risk well. The service managed safety incidents well and learned lessons from them.
- Staff assessed patients’ food and drink requirements. The service met agreed response times. Managers made sure staff were competent.
- Staff treated patients with compassion and kindness and respected their privacy and dignity. They provided emotional support to patients, families and carers.
- The service made it easy for people to give feedback. People could access the service when they needed it. The service planned care to meet the needs of local people.
- Staff understood the service’s vision and values. Staff felt respected, supported and valued. The service engaged well with patients and the community to plan and manage services.
However
- Staff assessed physical risks to patients, but did not document mitigations, actions or the impact of those risks. This was identified at the previous inspection.
- The adult safeguarding policy was unclear, inaccurate and contradictory and there was no contraband policy to support staff who were required to search patients for smuggled goods.
- Managers did not monitor the number of staff days off, to ensure that there was adequate weekly rest periods and were unsure of official processes for notifying CQC of notifiable safeguarding concerns.