Source · CQC inspection
Head Office
Type Social Care Org
Region South West
Last inspected 11 Nov 2022
Overall rating: Requires Improvement View full CQC report
Domain ratings
Safe
Requires Improvement
Effective
Good
Caring
Good
Responsive
Good
Well-led
Requires Improvement
Earlier inspection findings
Must-do actions (2)
Must-do action 1 of 2
Must do
Well-led
The provider did not have effective systems in place to assess, monitor and improve the safety and quality of the service.
Must-do action 2 of 2
Must do
Safe
The provider had failed to ensure that recruitment procedures are established and operated effectively.
Should-do actions (5)
Should-do action 1 of 5
Should do
Safe
Whilst we did not find people had been placed at risk, we recommend the service reviews all records relating to the management of risk to ensure these are sufficiently detailed.
Should-do action 2 of 5
Should do
Safe
We recommend that the provider reviews their medicine administration auditing processes to ensure safe administration of medicines at all times.
Should-do action 3 of 5
Should do
Effective
We recommend the provider undertake a review of the effectiveness of their training programme to ensure it provides staff with the necessary skills to enable them to carry out their duties.
Should-do action 4 of 5
Should do
Responsive
We recommend the provider reviews the systems in place to ensure people's support plans are fully reflective of people's individual needs and wishes including their end of life wishes and preferences.
Should-do action 5 of 5
Should do
Responsive
We recommend the provider seeks advice from a reputable source on how they should implement guidance regarding the Accessible Information Standard and incorporate this into relevant documents within the service.