Ampersand

The key question of safe was rated inadequate at our last inspection. At this assessment we found improvements had been made in the management of risk and the recruitment of staff. The management of medicines had improved but further improvement was required. The key question of safe is now rated requires improvement. Potential risks to people’s health and welfare were managed and staff understood how to support people safely. There were enough staff to meet people’s needs, who had been recruited safely. Staff understood their role to recognise and report abuse. Accidents and incidents were analysed and used to learn lessons to reduce the risk of them happening again. The service was clean and staff used personal protective equipment appropriately.

The key question of caring continues to be rated good. We assessed the quality statement ‘Independence, choice and control which has been assessed as good. People were supported to be as independent as possible. Staff supported people’s rights and gave them choices about their care and support.

The key question of responsive continues to be rated good. The quality statement ‘Equity in experiences and outcomes’ has been assessed as good. People were supported to access healthcare and support when their needs changed.

The key question of well led continues to be rated requires improvement. The service had made improvements, and the quality statement ‘Governance, Management and Sustainability’ has been assessed as good. There were now effective systems in place to monitor the quality of the service, identify shortfalls and make changes to improve the service.