Housing 21 – Laurel Gardens was rated Good overall following a focused inspection of Safe and Well-led, having improved from Requires Improvement at the previous inspection in January 2020 and resolving a prior breach of Regulation 17. The service demonstrated safe, person-centred care with strong governance, consistent staffing, effective medicines management, and an open learning culture.
Strengths
· People were involved in their risk assessments and safety care planning arrangements, receiving personalised support
· Sufficient staffing levels with consistent staff teams; people reported staff arrived on time and stayed the required duration
· Safe medicines administration with regular staff competency checks; MAR records showed medicines given as prescribed
· Strong safeguarding culture; staff confident to escalate concerns and report to local authority
· Effective governance improvements since last inspection; breach of Regulation 17 resolved with no recurrence
Quality-Statement breakdown (12)
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
safe: Consent to care and treatment sought in line with legislation and guidanceGood
well-led: Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirements; continuous learningGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Duty of candour — open and honest with people when something goes wrongGood
well-led: Engaging and involving people using the service, the public and staff, fully considering equality characteristicsGood