23 June 2023
During a routine inspection
This service had not been rated before. We rated it as requires improvement because:
- The provider was unable to evidence that staff had appropriate training in key skills, recruitment was not in line with statutory requirements. Medicines were not always managed well.
- Managers did not monitor the effectiveness of the service or make sure staff were competent. The service did not provide information to demonstrate how it supported patients to make decisions about their care and or how they could access information.
- The service provided little evidence of its governance processes to enable its assessment and monitoring of quality. Policies and procedures were not always available to support staff. The service did not demonstrate it engaged well with patients to plan care and treatment and information could not easily be extracted or produced by the service.
- The service could not show how patients consented to treatment and care, including X-rays.
However:
- The service had enough staff to care for patients and keep them safe. The service assessed risks to patients and kept written records of care. The service could articulate how to manage safety incidents should they occur.
- Staff provided good care and treatment and gave patients pain relief when they needed it. Staff worked well together for the benefit of patients and advised them on how to lead healthier lives.
- The service planned care to meet the needs of local people, took account of patients’ individual needs, and made it easy for people to give feedback.