Adrian O'Brien Rachel Amiee O'Brien - 122 Scorer Street

We assessed all 8 quality statements in the safe key question. We found 1 breach of legal regulation relating to staffing. There were not enough staff to safely support people. Staff completed training in line with their role, however training was not always effective in ensuring staff knew how to assess risk and understand how to support people when they were distressed. Incidents were not always safely managed, and lessons were not learnt to reduce the risk of reoccurrence to improve people’s quality of life. People were supported to understand safeguarding and how to keep themselves safe. Staff understood their responsibility to safeguard people and knew how to raise concerns.

At this assessment we did not assess all quality statements within this key question. We assessed 2 quality statements in the effective key question and found areas of good practice and areas of concern. Although people felt they received good support, care plans were not up to date and did not reflect people’s assessed needs. People told us they could make decisions, however there was a concern people did not always have the mental capacity to understand decisions they were making. Furthermore, decisions were being made in people’s best interests without consent.

At this assessment we did not assess all quality statements within this key question. We assessed 1 quality statement in the caring key question. People were supported to access the community and maintain relationships with friends and family. However, people were often impacted by other people’s choices due to staff not having the skills and confidence to individually support a person out of the home.

At this assessment we did not assess all quality statements within this key question. We assessed 1 quality statement in the responsive key question. People felt they were treated fairly, and their human rights were respected.

At this assessment we did not assess all quality statements within this key question. We assessed 1 quality statement in the well-led key question. We found 1 breach of legal regulation relating to the management of the service. Systems and processes were ineffective in ensuring records were regularly reviewed. Care plans and other records did not contain the most up to date information and risks were not always assessed. The provider had not acted in line with contingency plans to ensure the service remained safe when there were unexpected staff shortages. The provider did not have robust systems to monitor or improve the quality of care.