02 August 2022
During a routine inspection
This was a comprehensive, announced inspection.
Our rating of this location improved. We rated it as good because:
- The service had safeguarding processes and systems in place to protect people from abuse.
- Staff had the right qualifications, skills and training to keep patients safe from avoidable harm and to provide the right care and treatment.
- The service provided mandatory training in key skills to staff and ensured training was completed regularly.
- The service had processes in place for staff to follow to identify patients at risk of deterioration.
- The service had processes in place for staff to report incidents and near misses.
- Managers coordinated care with other services and providers.
- Leaders and managers understood and managed the priorities and issues the service faced.
- Leaders were visible and approachable in the service for patients and staff.
- Staff felt respected, supported, and valued. The service had an open culture where staff could raise concerns without fear.
However:
- The service did not have safety equipment specific for the transportation of children in vehicles.
- The provider did not have a policy in place for the safe management of oxygen and medical gases.
- Managers did not always ensure that premises and equipment were checked for safety and cleanliness.
- The provider had not made the complaint process clearly accessible for everyone.
- Leaders continued to develop and embed governance processes throughout the service. The current audit schedule had not identified some of our findings on inspection.