Updated 15 February 2024
This assessment commenced on 7 March and continued when we visited the premises again on 13 March 2024. We gave feedback to the provider on 18 April 2024. Serene Residential Care home is a residential care home providing personal care to adults, some of whom were living with dementia. There were 21 people living at this service when we carried out this assessment. We looked at 20 quality statements. At the last inspection the provider was rated requires improvement. At this assessment the rating has remained requires improvement. At this assessment we found 6 breaches of regulation in relation to person-centred care, safe care and treatment, safeguarding people from abuse, good governance, staffing and the safe recruitment of staff. Safeguarding systems were not in place to ensure people were fully protected from the risk of harm and abuse. The provider could not demonstrate all staff received appropriate training and induction. Staffing levels were not always safe and recruitment practices were not robust. People were not always offered choice and support which promoted their independence. Risks to people were not sufficiently identified and reduced. Care plans and risk assessments were not always updated or in place where required. There were insufficient systems to support good governance as the provider had not identified issues we found at this assessment. There was no clear process to identify lessons learned. We asked the provider for an action plan in response to the concerns found at this assessment.