Ambleside

The provider was previously in breach of the legal regulations in relation to safe care and treatment, person centred care and good governance. Improvements were found at this assessment and the provider was no longer in breach of these legal regulations.

The provider had made improvements to their processes for risk management, safe environments, infection prevention and control and medicines administration.

Records and charts had been reviewed, updated and checked regularly. The service improvement plan had completed actions, with an audit schedule in place. The kitchen was clean, food was stored correctly and safely. However, the garden was not accessible and required maintenance. Medicines management and documentation had improved, however, we found some recording errors.

The provider had made improvements in relation to person centred care. Care plans were written using dignified, respectful and person centred language. Daily notes included person centred information about the person’s well being and individual daily experience. A new approach to assess staffing requirements based on each persons assessed needs was in place. We observed improved interactions between staff and people.

The provider had made improvements in relation to good governance, management and sustainability. These included oversight, monitoring and management of service systems and processes; identifying and mitigating risk; improved accuracy and consistency of records; auditing checks to identify where improvements were required and a dynamic service improvement plan. However, we found the provider’s Statement of Purpose and registration details required updating.

Further time was required to ensure improved practices were embedded and formed an on-going part of the providers overall processes.