Balby

Some improvements were required about how staff recorded accidents and incidents, including safeguarding incidents. People had robust risk assessments and associated care plans in place. However, we could not be assured staff followed these due to the concerns we found during our inspection. At the time of our inspection, the provider was implementing new systems to ensure all incidents were appropriately recorded, staff followed policies and procedures, and action was taken to keep people safe. Staff were appropriately trained and recruited safely. However, due to concerns of a closed culture amongst the staff team, the provider had implemented a new interim staff team. Medicines were not always managed safely. The service was clean and promoted safe infection, prevention and control (IPC) practices and the environment was safe.

People had their needs assessed and care plans were robust and contained information about peoples wishes and preferences. However, we could not be assured staff always followed people care plans, due to the concerns we identified during our inspection. It was not evidenced staff had always worked in partnership with external agencies, to ensure people received effective care and support. People had their capacity assessed and where able, people had consented to their care.

We received mixed feedback from people and relatives about how staff treat them and promoted their independence, choice and control. Most people told us they were happy living at the service.

We could not be assured people had received person centred and responsive care and treatment. The provider was implementing new governance systems, to ensure improvements could be made. Feedback was sought from people and staff through surveys and meetings, and records showed no concerns were raised. People were offered a range of activities and community outings.

The provider had several overarching governance systems in place; however, these had not been effective in identifying some concerns. Due to alleged concerns regarding the staff team, an interim management and staff team had been implemented. The provider was implementing new governance systems at the time of our inspection.