East Cosham House

There was a failure to notify CQC of any abuse or allegation of abuse in relation to a service user.

Systems were either not in place or not robust enough to ensure the safe and proper management of medicines. This placed people at risk of harm.

There was a failure to ensure risks relating to the safety and welfare of people using the service were assessed and managed. Risk assessments were not always in place where required and Nice best practice guidance was not followed in relation to a head injury.

There was a failure to prevent the risk of, detect and control the spread of infections. Some equipment was not included on cleaning schedules and was visually dirty.

There was a failure to safeguard service users from abuse and improper treatment. Records showed that that where incidents had occurred between people these had not been reported to the local safeguarding team. It was also unclear how the records of such incidents were used to inform staff responses should further incidents occur.

There was failure to ensure that premises and equipment used by the service provider were properly maintained and were suitable for the purpose for which they are being used. People were not living in an environment that was properly maintained. In the small lounge there was a floor level radiator which was sharp and hot. The panelling which was meant to cover the radiator had been removed which left the radiator uncovered. This meant if people touched the radiator or fell near it there was a high risk of burns and cuts.

There was a failure to have effective and established systems and processes in place to monitor and improve the quality and safety of the service.