8 January 2014
During a routine inspection
Before people received any care or treatment we found that they had not always been asked for their consent. Where people did not have the capacity to consent, the provider had not in all cases acted in accordance with legal requirements.
We were told that people were actively encouraged to participate in their individual treatment programme and that they accessed specialist therapies and other support from staff. We saw people's needs were assessed, however care and treatment was not planned and delivered in line with their individual care plan.
None of the people we spoke with expressed any concerns about their safety.
Staff were not consistently trained and supported sufficiently by way of appraisals and supervisions. This demonstrated to us that people were not fully cared for by staff who were supported to deliver care and treatment safely and to an appropriate standard.
The provider had effective systems in place to monitor the quality and safety of service that people received.
People were not protected from the risks of unsafe or inappropriate care and treatment. People's personal records including medical records and staff records were not all accurate and fit for purpose.