Focused inspection following previous breaches of regulations 12 and 17 found the provider had made sufficient improvements and was no longer in breach. Overall rating improved from requires improvement to good across safe, effective and well-led.
Strengths
· Staff understood how to safeguard people from discrimination, neglect, and abuse
· Sufficient staffing with right mix of skills; improved continuity and consistency of care from regular staff
· Safe recruitment with robust pre-employment checks including DBS
· People received prescribed medicines safely; staff competency assessed every six months
· Effective infection prevention and control with appropriate PPE use and food hygiene practices
Quality-Statement breakdown (18)
safe: StaffingGood
safe: RecruitmentGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely careGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Duty of candourGood
well-led: Continuous learning and improving careGood