8 June 2022
During a routine inspection
We have not previously rated this service We rated it as inadequate because:
- Staff did not assess risks to patients, act on them or keep good care records. They did not manage medicines well. Staff did not have DBS checks and were not trained appropriately in safeguarding adults and children. Or have systems in place protect patients from abuse.
- Staff did not record when pain relief was needed. Consent was not always documented appropriately, and managers did not monitor the effectiveness of the service or support patients to make decisions about their care
- Governance and risk management systems did not operate effectively. did not run services using reliable information systems. The service did not engage with patients and the community to plan and manage services.
However:
- The service had enough staff to care for patients and keep them safe. Staff had training in key skills, and managed safety well. The service-controlled infection risk well.
- Staff provided good care and treatment, gave patients enough to eat and drink. Managers made sure staff were competent. Staff worked well together for the benefit of patients, advised them on how to lead healthier lives, and had access to good information. Key services were available seven days a week.
- Staff treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions. They provided emotional support to patients, families and carers.
- 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. People could access the service when they needed it and did not have to wait too long for treatment.
- Staff were supported to develop their skills. Staff understood the service’s vision and values, and how to apply them in their work. Staff felt respected, supported and valued. They were focused on the needs of patients receiving care. Staff were clear about their roles and accountabilities and all staff were committed to improving services continually.
We are placing the service into special measures.
Services placed in special measures will be inspected again within six months. If insufficient improvements have been made such that there remains a rating of inadequate overall or for any key question or core service, we will take action in line with our enforcement procedures to begin the process of preventing the provider from operating the service. This will lead to cancelling their registration or to varying the terms of their registration within six months if they do not improve. The service will be kept under review and, if needed, could be escalated to urgent enforcement action. Where necessary another inspection will be conducted within a further six months, and if there is not enough improvement we will move to close the service by adopting our proposal to vary the provider’s registration to remove this location or cancel the provider’s registration.