1 and 2 August 2023
During a routine inspection
We rated it as requires improvement because:
- The service did not provide safe care. Staff did not assess and manage risk well for all clients.
- Client records were not complete and contemporaneous.
- The service did not develop holistic, recovery-oriented care plans informed by a comprehensive assessment for all clients.
- Staff did not receive all training relevant for their role.
- The service was not well led, the governance processes did not ensure that its procedures ran smoothly.
- Staff records did not comply with the requirements of Schedule 3 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Records did not include health screening and full work history.
However:
- The service provided a range of treatments suitable to the needs of the clients and in line with national guidance about best practice. Staff engaged in clinical audit to evaluate the quality of care they provided.
- The teams included or had access to the full range of specialists required to meet the needs of clients under their care. Staff worked well together as a multidisciplinary team and with relevant services outside the organisation.
- Staff treated clients with compassion and kindness and understood the individual needs of clients. They actively involved clients in decisions and care planning.
- The service was easy to access. Staff planned and managed discharge well and were responsive to the needs of clients that were more difficult to reach.