Updated 15 February 2024
We carried out an assessment of this service between 19 March 2024 and 5 April 2024. Our assessment of the service included an unannounced visit to the home on 19 March 2024 by 3 inspectors and an announced visit by a medicines inspector on 22 March 2024. During our visits we spoke with 10 people, 4 visitors and 13 members of staff which included the manager, area manager, deputy manager, care consultant, registered nurses, senior carers and care staff, activity and maintenance staff. We looked at the key questions of safe and well-led. Under the key question of safe we looked at the following quality statements; learning culture, safe systems pathways and transitions, safeguarding, involving people to manage risks and medicines optimisation. Under the key question well-led, we looked at the quality statements of freedom to speak up, governance, management and sustainability; and learning, improvement and innovation. We found governance systems were not always effective in identifying or improving shortfalls. The provider had policies and procedures in place for the management and administration of people’s medicines however these were not always followed by staff. People were supported by staff who were well trained and supported in their role. There were systems in place to monitor and learn from accidents, incidents and complaints. Staff had been trained to recognise and report any signs of abuse. People were involved in the care they received and were supported to maintain their independence.