Ashfields

Risk assessments and care plans did not always effectively identify and address risk. We identified concerns relating to the management of people's nutrition and hydration needs, skin care and falls. We observed some instances where personal protective equipment was not being worn correctly to protect people from the risk of infection.

Governance systems in place had not been effective in identifying and improving the quality of the service. Records in respect to people's care were not always accurate and contemporaneous.

Following our inspection visit the regional director provided an update of initial actions they were taking and assurances that they were addressing the concerns identified.

Staff knew how to raise safeguarding concerns and felt confident to do so. However, concerns and incidents relating to medicines management had not been identified or reported as a safeguarding concern, as specified by local safeguarding guidance.

The environment was clean and hygienic. People and staff were taking part in regular COVID-19 testing. People were supported to maintain important relationships, and this included ensuring family and friends could visit the service. People were supported by enough staff who had been recruited safely. Where incidents had occurred, the registered manager had oversight of these. Incidents were discussed with people, relatives and staff, to facilitate any lessons needing to be learnt.

People and relatives were engaged in the service and feedback was sought from them in a range of ways. The registered manager was approachable and supportive. People were supported by a cohesive and caring staff team. There was a positive and pleasant atmosphere. Staff interacted with people in a person-centred and respectful manner.