Updated 2 January 2025
Date of Assessment: 6 January 2025 to 28 January 2025. The service is a care at home service providing support to adults of all ages in their own home some of whom were living with dementia and / or a range of physical disabilities. At the time of the inspection they were supporting 14 people, some of whom were receiving a live in care service. This was an assessment to check whether improvements had been made following our previous inspection.
Quality assurance systems had been implemented however, these were not yet sufficiently robust to identify all of the areas where the quality and safety of the service were compromised. We continued to find shortfalls in how risks to people’s health and wellbeing were managed. Records relating to people’s care were not always complete or, in some cases, contained inconsistencies.
Systems had been put in place to investigate and to ensure lessons were learnt from incidents and accidents. These needed to be further refined to ensure they were effective at identifying any themes or trends and managing and mitigating future risks.
People were protected from abuse and kept safe. There were appropriate staffing levels. A training programme was in place; however, staff had not always received the training relevant to the needs of the people they were supporting.
Overall, the principles of the Mental Capacity Act were now better understood and applied in practice.
Staff worked with other agencies effectively. The service supported staff wellbeing and staff felt valued and supported and they were confident to speak up or to share feedback.
This service has been in Special Measures since 7 July 2023. The provider has demonstrated sufficient improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions, therefore, this service is no longer in Special Measures.
We have asked the provider for an action plan in response to the concerns found at this assessment.