Updated 3 September 2024
Date of assessment: 15 July to 29 August 2024. We assessed a small number of quality statements from the safe, responsive and well-led key questions and found areas of both good practice and concerns. The scores for these areas have been combined with scores based on the key question ratings from the last inspection. We found multiple breaches at this inspection in relation to the need for consent, safe care and treatment, safeguarding people from abuse and improper treatment, notifications of changes, good governance and staffing. People using the service and staff told us their care was good and our observations supported this. However, there were shortfalls in the systems and processes needed to assess, monitor and improve the service. For example, ensuring staff were trained to meet people’s needs, the environment was safe and clean, people’s care plans and risk assessments were up to date and reflected their needs, medicine safety and the overall governance of the service. In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded. We have asked the provider for an action plan in response to some of the concerns found at this assessment.