5 February 2019
During a routine inspection
People’s experience of using this service:
• The provider had not always identified areas for improvement and development in the service. There were not robust governance systems in place.
• The home environment was not always kept safe and properly maintained.
• Whilst the majority of care plans and support provided met people’s needs, there were gaps in one person’s care provision. They did not always receive thorough individualised care.
• Risks associated with people’s healthcare needs had been identified and people told us they felt safe and well looked after. Staff administered medicines as prescribed.
• Staff were kind and caring and supported people to be as independent as possible. Staff asked for consent before delivering care.
• People had access to healthcare professionals when required.
• Staff were competent and knew how to care for people and received training in their roles.
• Staff supported people to have a choice of healthy balanced meals and enough to drink.
• The registered manager supported an effective staff team, who communicated well. The registered manager was approachable and available to people and staff.
• The service had been developed and designed in line with the values that underpin the CQC guidance, Registering the Right Support, and other best practice guidance.
• We found the service had deteriorated in some areas and met the characteristics of a “Requires Improvement” rating in Safe, Responsive and Well-led, which meant it was rated “Requires improvement” overall.
Rating at last inspection: Good (Published 30 August 2016)
Why we inspected: We inspected this service in line with our inspection schedule for services currently rated Good.
Follow up: We will continue to monitor this service according to our inspection schedule.