Updated 14 June 2024
This assessment was carried out to see if improvement had been made since the last inspection where the service was put into special measures. We inspected all quality statements across all key questions. Improvements had been made and the service was no longer in breach of any regulations. However, time is needed to be assured improvements had been fully embedded and sustained. The quality monitoring of the service had mostly improved. Environmental and fire safety improvements had been made. However, 3 unsafe window restrictors were found. Staff now understood the importance of learning from incidents and safeguarding's and actions were taken to reduce risks. People had appropriate assessments, monitoring, and risk reducing measures in place. Cleanliness had improved, but damaged surfaces restricted staffs’ ability to ensure good infection prevention and control. The right skill mixes of staff worked each shift. Pre-employment checks were completed for staff. Not all staff told us they had received a full induction when employed. Staff had information to follow when people were discharged from hospital back to the service. This included health professional input to support continuity of care. Most care records were now person-centred and recorded who participated in the setting up and reviews. Where people had Deprivation of Liberty Safeguards (DoLS) authorisations in place, staff monitored these. People were supported with safe medicines management. People enjoyed the menu choices on offer. Activities were held to occupy people’s time. Staff treated people with kindness and maintained people's dignity and independence. Records had improved; however, some needed more detail, including safeguarding, and complaints logs to enable oversight of trends. People and their relatives fed back on the service. However, where people were helped to complete feedback, the name of the staff member or relative should be recorded to enable more transparency.