Updated 2 April 2024
We completed the assessment between 11 April to 14 May 2024. We found seven breaches of the legal regulations in the areas of Safe Care and Treatment, Safeguarding, Dignity and Respect, Good Governance, Staffing, Person Centred Care and Notification of Incidents. We found serious concerns around the assessment and management of risk to people’s health conditions. The registered manager and staff did not assess risks to people's health conditions and safety or mitigate them where identified. Information regarding people’s support needs and health conditions was not always used to produce complete and thorough care planning, and to provide appropriate guidance to staff. The provider did not ensure that people were protected from abuse. The provider did not have robust procedures and processes in place to that make sure that people were protected. Staff were not always aware of their responsibilities to prevent, identify and report potential abuse when providing care. Staff training was inadequate. Staff were not provided with the specialist training needed to understand and respond to many of the health conditions people lived with. This put people at risk. People’s environments were not properly assessed to ensure that any identified risks were mitigated. Infection control processes and practices were often poor. We found serious concerns regarding the leadership of the service. The was a failure to adequately assess the needs of the people they supported. Governance systems and audits were not effective in identifying or addressing areas for improvement. The registered manager was unaware of some of their regulatory responsibilities. 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.