Clare Mount

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm. At our last inspection we rated this key question requires improvement. At this inspection the rating has remained 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.

The service was in breach of legal regulation in relation to safe care and treatment; the management of people’s risks, the way people’s medicines were managed safely, and the safety and cleanliness of the environment.

This is the third consecutive breach of legal regulation relating to safe care and treatment and the fifth consecutive time the service has been rated requires improvement or inadequate in the safe domain.

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last inspection this domain was not inspected; however, we last inspected this domain in July 2022 and we rated this key question good. At this inspection the rating has changed to requires improvement. This meant the effectiveness of people’s care, treatment and support did not always achieve good outcomes or was inconsistent.

The service was in breach of legal regulation in relation to the need for people to consent to care and treatment.

Caring – this means we looked for evidence that the provider involved people and treated them with compassion, kindness, dignity and respect.

At our last inspection we rated this key question requires improvement. At this inspection the rating has remained requires improvement. This meant people did not always feel well-supported, cared for or treated with dignity and respect.

This is the second consecutive time the service has been rated requires improvement in the caring domain.

Responsive – this means we looked for evidence that the provider met people’s needs.

At our last inspection we rated this key question requires improvement. At this inspection the rating has remained requires improvement. This meant people’s needs were not always met.

The service was in breach of legal regulation in relation to person-centred care.

This is the second consecutive breach of legal regulation relating to person-centred care and the second consecutive time the service has been rated requires improvement in the responsive domain.

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

At our last inspection we rated this key question inadequate. At this inspection the rating has remained inadequate. This meant there were widespread and significant shortfalls in leadership. Leaders and the culture they created did not assure the delivery of high-quality care.

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