Updated 2 May 2024
Date of assessment, site visit commenced on 16 May 2024, off site assessment activity ended on 28 May 2024. The service was run by a dedicated registered manager. The registered manager understood legislation and regulation; however, they had not submitted statutory notifications to CQC for allegation of abuse. The registered manager immediately submitted the notifications in retrospect and shared plans of how future notifications would be monitored to ensure they were submitted in a timely way. The management team had built and open and inclusive culture for people, their relatives and staff. They had an open door policy and welcomed feedback about the service for continual improvements. Staff were supported to speak up if they felt something was wrong, this could be internally of externally if needed. People were supported by staff who were recruited safely, trained, and supervised. People’s medicines were stored, administered and managed safely. People were protected form the risk of harm or abuse by staff who followed the provider’s safeguarding policy. The service was clean and maintained to a good standard. Health and social care professional input was sought in anticipation and in response to people’s changing needs, staff monitored outcomes and provided feedback to professionals for reviews when needed. People benefitted from a stable staff and management team who knew them well, staff understood people’s communication methods so were able to effectively support them. People were engaged and many attended a full programme of activities, those who preferred to spend time in their bedroom had one to one time with staff to prevent isolation. People were able to welcome visitors at times to suit them. Support was person-centred, people gave views on how they wanted their care to be delivered. Where people were at risk of experiencing inequalities of care, staff ensured services were available by advocating for people.