20 September 2023
During a routine inspection
We have not previously rated this service. We rated it as requires improvement because:
- Staff did not always record risks to service users, act on them and keep good care records. The service did not always manage safety incidents well and in accordance with their policies. Staff did not always collect safety information and use it to improve the service.
- Leaders did not always run services well. Information and governance systems were not always reliable and did not support staff to develop their skills. Staff were not always clear about their roles and accountabilities which impacted on their commitment to improve services continually. Service policies needed to be reviewed to match the specific needs of the service.
However:
- The service had enough staff to care for service users and keep them safe. Staff had training in key skills, understood how to protect service users from abuse.
- Staff treated service users with compassion and kindness, respected their privacy and dignity, took account of their individual needs and helped them understand their treatment. They provided emotional support to service users, their families and loved ones.
- The service planned care to meet the needs of their customers. People could access the service when they needed it and did not have to wait for their results.
- Staff understood the services’ vision and values and how to apply them in their work. The service was focused on the needs of the service users receiving care. The service engaged well with service users to plan and manage services