Kent Street

Accident and incidents had not always been documented appropriately; therefore, we could not see what or if actions had been taken to protect people. Medicines Administration Records (MARS) were not completed correctly so we could not be certain medicines had been given safely or correctly. Medicine audits and checks had not been effective in identifying these concerns. We were assured about IPC practices. People and their relatives told us they felt the service they received was safe.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People and their families told us they had been involved in care planning and reviews of their care. Referrals were made to other healthcare services where necessary. People were supported with their dietary and nutritional needs as they preferred. Training records demonstrated relevant training was provided. People and their relatives told us they thought the care they received was very good and spoke very positively about the staff who supported them.

Care and support plans generally provided guidance for staff on how to meet people's needs and minimise some risks. People told us their care plans had been reviewed. However, records we viewed showed some changes in needs were not always recognised or recorded in a timely way. Actions had been taken promptly to respond to any complaints.

People, their relatives and staff were consulted in the running of the service. A recent survey about the quality of the service had been completed but was not sufficiently analysed to show how the service could improve. Some regular audits had been undertaken. However, these were not effective or robust enough in highlighting the concerns we found with recruitment, records for managing risks and medicines.

The leadership in the service commenced working immediately on the shortfalls identified during the inspection and people's experiences appear not to have been impacted by those shortfalls identified.