During an assessment under our new approach
We found 3 breaches of legal regulations in relation to staffing, person-centred care and governance. People did not always receive personalised care and the provider had not ensured staff were deployed appropriately to meet people’s needs and preferences. The provider’s governance processes did not effectively identify or address areas of concern.
The provider did not have a robust process in place for investigating and learning from incidents. Risks to people’s safety were not always assessed and documented to ensure they were managed safely.
People’s needs were assessed; however, the timing of their care was not always provided in line with their assessed needs and preferences. People were not always involved in making decisions about their care.
People were treated with kindness and staff protected their privacy and dignity. However, people’s care was not always delivered in a way which promoted their choice and control. People’s capacity to give informed consent was not always recorded. The provider did not always promote a culture of continuous learning and improvement.
People’s medicines were managed safely. Staff monitored people’s health and worked in partnership with other agencies. The provider promoted people’s equality in access to care. People were provided with information in formats they could easily understand.