LCS Portsmouth

The provider's quality assurance processes were not effective and had failed to identify concerns we found and improve the quality and safety of the services provided.

Not all risks for people had been fully assessed and plans put in place to mitigate those risks as far as possible. Where risk assessments were in place these had not been regularly reviewed to ensure risk mitigation measures remained appropriate or additional risk assessments were implemented when required.

Although staff supported people in the least restrictive way possible and in their best interests to have maximum choice and control of their lives the systems in the service did not ensure people's legal rights under mental capacity legislation were fully met.

Recruitment procedures were not always effectively followed to ensure only suitable staff were employed. Staff told us they felt supported however, formal processes to ensure staff were supervised according to the provider's policy were not being followed.

Staff had not been assessed as competent to administer medicines safely. Procedures were not in place or followed to ensure medicines were always been managed safely.

People told us they felt safe when receiving a care service and staff and the registered manager were aware of their safeguarding responsibilities.

Staff told us they always had enough Personal Protective Equipment (PPE) and had not experienced a shortage during the COVID-19 pandemic. They described how and when they would use PPE which reflected current guidance.

People and their family members were all positive about the caring nature of the staff. People told us they were always treated with dignity and respect. People felt able to express their views and request additional

tasks be completed if required.