Bourne House

⚠ Systems for ensuring people's care and treatment was appropriate, met their needs and reflected their preference was not being used effectively.

⚠ Care and treatment of people was not being consistently provided with the consent of appropriate people and in accordance of the Mental Capacity Act 2005.

⚠ Risks to people were not being assessed and mitigated as much as reasonably practicable. People's medicine was not being properly and safely used. The prevention, detection and control of the spread of infections was not icompleted effectively.

⚠ systems and processes were not established and operated effectively to prevent the risk of abuse or ensure effective investigation of allegation of abuse.

⚠ People's nutritional and hydration needs were not always being met with the provision of a suitable healthy and balanced meals in line with people's assessed needs and preferences.

⚠ The premise and equipment was not always suitable for the purposes it was being used and properly used and maintained.

⚠ We were not assured that the provider is able to identify, address and sustain improvement within the service through sufficient oversight and suitable governance arrangements.

⚠ Records did not demonstrate robust systems of recruitment were being completed prior to a new employee beginning to work at the home.

⚠ There was not sufficient numbers of suitable qualified, competent, skilled and experienced persons deployed to meet the needs of people living at the service. Staff were not consistently receiving appropriate support, training, professional development, supervision and appraisals as necessary to enable them to carry out their duties.