Winchester House

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm. We also checked to ensure people were supported by enough skilled staff, and people were supported to take their medicines as prescribed.

At our last assessment we rated this key question good. At this assessment the rating has changed to requires improvement. This meant some aspects of the service were not always safe and there was limited assurance about safety. There was an increased risk that people could be harmed.

People’s medicines were not always managed safely. Improvements were needed to ensure people were continually supported and had access to a safe environment. Audits and monitoring had not identified the risks picked up during this assessment, including the assessment and mitigation of risks. Lessons were not always being learned and used to drive improvement. Staffing levels were not being monitored to ensure people were always supported by enough staff to provide person centred care.

The service was in breach of legal regulation in relation to ensuring people are consistently receiving safe care.

Well-led – this means we looked for evidence that leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture.

At our last assessment we rated this key question good. At this assessment the rating has changed to requires improvement. The governance systems in place were not robust enough to support the provider to independently identify and address shortfalls to ensure people received safe and effective care at all times.

The provider was in breach of legal regulation in relation to the governance of the service.