Updated 19 April 2024
The service is a residential home providing care and support for up to 9 Autistic people and people with a learning disability, at the time of assessment the provider was supporting 7 people. The last on-site inspection was undertaken 09 December 2019 and was rated good in all key lines of enquiry. The service assessment was prompted by information of concern received and feedback from partners. The service was assessed on the 14 May 2024 using the new single assessment framework, we focused the inspection activity based on the two key questions of safe and well-led. The first day on-site assessment was unannounced, we announced our next on-site activity and visited on 16 May 2024. Due to the concerns we found on the 14 and 16 May, we completed another visit on-site which was unannounced on the 21 May 2024. We identified concerns with the service management that resulted in a breach of Regulations 9, 11, 12, 13, 17, 18 and 19 of the Health and Social Care Act 2008 (Regulated Activities), including a breach of regulation 4 and 7 of the Health and Social Care Act 2008 (Regulated Activities). Service improvements were needed regarding ensuring people's care plans were up to date and accurately reflected their needs and support requirements to also include risk assessments where required. The management of medicines and equipment was not safe. We found the provider's governance systems were inadequate for addressing safeguarding concerns and incidents that are required to be reported to the Care Quality Commission which were not reported, there was a lack of identifying and driving up improvements to the service such as quality monitoring, staff training and supervision, health and safety governance of the property and grounds, safety systems which also included infection prevention and control. You can find more details of the concerns we raised and found in this report.