Larkhill Hall

We identified a continued breach in relation to safe care and treatment. Medicines records did not always demonstrate people received their medicines safely. We found no evidence people had been harmed and this resulted in a continued breach. You can find more details of our concerns in the evidence category findings below. People told us they felt safe living at Larkhill Hall. The manager understood their role and responsibilities. Staff understood the course of action to take if someone disclosed an allegation of abuse. People felt appropriate action was taken when they raised concerns and feedback. Historically people told us that the concerns they reported had not always been reported on. There was enough trained and qualified staff on shift and staff were recruited safely. Staff knew how to support people and people told us they had been involved in their care and support plans. Lessons had been learnt from previous shortfalls and safeguarding recommendations were being recorded, however, it was not always clear from the record if the recommendations had been implemented.

Staff understood their roles and responsibilities. All reportable incidents and accidents had been escalated and investigated appropriately, and organizational learning had been implemented and communicated to staff during team meetings. Staff told us they could approach the manager if they had any concerns and they had noticed an improvement in the service since the last inspection. Feedback was gathered and analyzed for patterns and trends. The senior managers were aware of their roles with regards to duty of candor, and were open and transparent regarding the previous and remaining issues at the home they were trying to fix. Governance systems, though these were improved and had highlighted some areas of improvement, further work was needed to ensure these systems were imbedded robustly into the service.