Updated 31 May 2024
The date of the assessment was 4 June to 12 June 2024. We found that people were not always supported to be safe from risks associated with their care, through a lack of staff presence and detailed records. We saw evidence that people’s conditions were deteriorating as a result of support not being provided in line with professionals guidance and care plans. People had lost weight without an appropriate response to mitigate the risks. Staffing levels negatively impacted the quality of care people received and we found that there were significant shortfalls in the oversight of the service. The Registered Manager did not have processes in place to identify areas for improvement and had not taken action to improve the processes. Morale amongst the staff was low and there were tensions amongst the staff team. Staff did not always feel listened to or treated equally. However, staff were very open and candid about the challenges they faced and shortfalls within the service. They were keen for improvements to be made and for people to receive better care. Staff were caring and motivated to provide a good service when they felt able to. We found there were breaches in safe care, staffing and leadership of the service.