Updated 22 April 2024
Date of assessment 24 April to 2 May 2024. The service has improved. The provider now had enough staff to ensure people’s safety and meet their needs. The provider had new and effective recruitment processes in place. Improvements had been made to how the provider assessed people’s mental capacity and stored important information. However, we found a breach of the legal regulation in relation to good governance. The provider’s system to ensure good governance of the service had failed to identify audits were either not in place or used effectively. We have asked the provider for an action plan in response to the shortfalls we identified during the assessment.