Updated 18 March 2025
Date of Assessment: 28 March 2025 to 02 April 2025. The service is a care at home service providing support to people in their own home living with dementia, mental health conditions, physical disabilities or sensory impairments.
The service had 8 breaches of regulation identified in previous assessments in 2024 relation to good governance, receiving and acting on complaints, statement of purpose, fees, display of ratings and notification of other incidents, staffing and fit and proper persons employed. This assessment followed up on the action the provider had taken in response to the warning notice issued in December 2024 relating to good governance. Outstanding breaches will be reviewed at the next assessment. Some improvements had been made. The provider continued to be in breach of good governance. The overall rating of the service has remained requires improvement.
Key documents such as the statement of purpose and service user guide had been reviewed and updated. Clearer management oversight of safeguarding, complaints and accidents and incidents was evident. The provider was developing audit documents to monitor the quality and safety of the service. However, there was no service improvement plan.
We have asked the provider for an action plan in response to the continued breach of regulation found at this assessment.