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Date of assessment 7 July 2025 to 6 August 2025. The onsite and offsite assessment commenced due to concerns relating to risk management and governance. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. The service did not have oversight of reporting statutory notifications to CQC which meant there was a lack of external scrutiny to ensure people were safe and risks were mitigated. There were inconsistencies within the care records which meant the provider could not be assured people’s needs were being met. There was a lack of governance oversight which meant the service did not have effective systems in place to monitor and improve the quality of the service. We found 1 breach of the legal regulations in relation to good governance. Care records did not always reflect people’s care needs. Staff knew how to report accident and incidents. The provider actioned duty of candour to keep people updated with any concerns and updates. Staff were recruited safely. The care records focussed on supporting people’s independence. People were treated with respect, understanding and compassion. Staff spoke positively about the support received from the registered manager. We found the registered manager responsive throughout the inspection. We have asked the provider for an action plan in response to the concerns found at this assessment.
npm run etl:reports -- --location 1-2724260898.npm run etl:reports -- --location 1-2724260898.npm run etl:reports -- --location 1-2724260898.