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There was a positive learning culture across the service which meant people received high quality care anwhere people protected from the risk of harm and abuse.

People's risks were managed safely and in the most effective way as staff knew people’s needs well.

The environment was clean and there were good infection control processes in place.

There were enough staff who had been recruited following robust processes and who had been trained to safely meet people’s needs.

During our assessment of this key question, we identified an issue with a medication which had not been administered as prescribed. This was related to the ordering process and on this occasion, a lack of communication from staff. This was brought to the attention of the manager who took the most appropriate actions to address this issue, ensuring no one had come to any harm.

There was a new management team in place who had created an open and inclusive culture within the service.

Managers were experienced and led with integrity ensuring people and staff felt valued.

The service worked well with other partner agencies to collaborate for improvement. The management team were committed to reviewing practices and processes to drive improvements across the service.

There were governance systems in place which assessed and managed the safety and quality of the service. However, some improvements were required to how tasks were delegated and communicated among the management team to reduce the risk of error.