Old School House

Safeguarding concerns were generally referred to the local authority, as required. We found 1 incident had not been referred.

Risks to people’s health and safety were managed well. People said they felt safe at the service and there were enough staff to meet their needs. However, when the registered manager or deputy were not on duty, there was no one taking responsibility for the home to lead and co-ordinate shifts and provide accountability for the home.

At the last inspection, the provider was in breach of regulation 11 (Need for consent) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was because the provider did not routinely follow the code of practice of the Mental Capacity Act 2005. During this assessment we found improvements had been made.

People’s needs were assessed and kept under review to make sure they received the right support and care. Staff worked well with other agencies to meet people’s healthcare needs.

People’s independence was promoted at the service and care practices supported this. Equipment was provided to help people with daily living tasks.

There were procedures for making complaints about the service and to provide feedback about care.

At the last inspection, the provider was in breach of regulation 18 of the Registration Regulations 2009 (Notifications of other incidents). This was because the provider failed to notify us of all events it was legally required to. During this assessment we found the provider was still in breach of this regulation.

During our assessment of this key question, we found concerns around governance processes.

The service needed to develop practice in response to learning from incidents.

There was a supportive culture at the service and staff said they knew how to raise concerns and would be confident doing so.