Updated 23 May 2024
This was the first inspection and was undertaken between 12 June 2024 and 18 June 2024. The service had several managers since opening and a new manager had just commenced. Prior to the inspection we received concerns about staffing, training levels, admissions and responding to residents health and wellbeing needs. During the inspection we found 3 breaches of regulation in managing medicines safely, recruitment, and governance. People were kept safe through safeguarding policies and health and safety procedures. The home was kept clean and comfortable, and was decorated and furnished to a high standard. Staff could access care plans and updated people's care notes on electronic devices. Staff monitored people's outcomes such as falls and knew what to do. People were supported to eat and drink and all food was prepared on the premises. We received some poor feedback from stakeholders and relatives about how well staff worked with other health services to make sure care was delivered effectively. We saw that staff were kind and caring towards people, and we received positive feedback from relatives. Relatives told us that permanent staff knew people and their needs well, however agency staff less so. An activities co-ordinator was recently appointed; relatives told us they thought people should be supported with activities and to go out more often. We found gaps in some aspects of end of life care, and this was being addressed by the interim and new manager. Staff were starting to seek feedback from people and their relatives to help them make improvements. We found gaps in the governance of the service. An interim manager had been appointed to address this and new manager was due to take over. We found that some audits were adhoc had not been utilised to identify and make improvements, for example around medicines management and care plans. Some statutory notifications had not been made.