10 April 2019
During a routine inspection
People’s experience of using this service:
Improvements were required to medicines management to ensure people received their medicines as prescribed.
The environment was not consistently managed in a safe way. The arrangements in place for food safety and infection control required improvement.
Improvements were required to ensure records were reviewed regularly and consistently completed.
Audits were not always effective in identifying where improvements were needed.
Timely action was not always taken to respond to known areas that required improvement.
People received safe care and they were protected against avoidable harm, abuse, neglect and discrimination.
Staff were appropriately recruited and there were enough staff to provide care and support to people to meet their needs.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.
Staff had access to the support, supervision and training they required to work effectively in their roles.
Staff were friendly and caring; they treated people with respect and maintained their dignity.
Staff encouraged people to maintain their independence.
People had personalised plans of care in place to enable staff to provide consistent care and support in line with people’s preferences.
Information could be provided to people in an accessible format to enable them to make decisions about their care and support.
People knew how to raise a concern or make a complaint and the provider had implemented effective systems to manage any complaints received.
The service provided appropriate end of life care to people.
The service had a positive ethos and an open culture. The registered manager was approachable, understood the needs of people, and listened to staff.
Rating at last inspection:
This was the first comprehensive inspection of the service.
Why we inspected:
This was a planned inspection.
Enforcement:
At this inspection we found the provider to be in breach of one regulation of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Action we told provider to take is recorded at the end of the report.
Follow up:
We will continue to monitor the service through the information we receive until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk