Updated 24 July 2024
This inspection was prompted by concerns shared with us by the local authority. Inspection visits took place on 30 July and 6 August 2024. At this inspection we found that the service needed to make improvements. We found breaches in regulations linked to person centred care, safe care and treatment, governance and staffing. The provider was responsive to our findings and took action in all the areas of concern. Improvements were required to ensure people were protected in future where incidents occurred. Risks to people were not always well managed or planned for, which placed them risk of harm. Some areas of the home’s environment required improvement to ensure it was safe. Staffing levels were not maintained at safe levels at night which placed people at risk and meant people did not always receive the care they required. Staff were not always adequately trained and medicines were not consistently managed safely. Mental Capacity Act processes were not always followed. which placed people at risk of being unlawfully restricted. Governance and oversight was not robust, which meant that shortfalls were not identified and acted upon to ensure people received safe care. The provider took prompt action following our feedback on the first inspection day, and we were further updated of changes made after our visit to ensure the service was safe and well managed. People shared mostly positive feedback about the care they received, and we observed caring and helpful interactions between staff and people.