Motaryli Ltd

We carried out this assessment to see if improvements had been made. At this visit we found the service had made some improvements due to the implementation of new systems, but further improvements were required, and the service remains in breach of regulation 17.

We found the person’s care plan and risk assessments were more detailed and provided staff with the knowledge and guidance to deliver safe, personalised care.

During the last assessment, we found the quality assurance systems for the safe recruitment of staff were not robust. The service had now implemented a new recruitment process, which was more effective in ensuring staff were recruited safely and the correct pre-employment checks were being carried out.

At our last assessment, systems and processes regarding consent practices required improvement to ensure legislation and best practice was being adhered to.At this assessment, the person had appropriate safeguards in place to ensure their finances were being managed safely by the service, with the person’s knowledge and understanding of this being recorded within their care records.

In relation to governance, at the time of the assessment, the registered manager was being supported to implement new systems and processes into the service and was in the early stages of understanding and using the new quality assurance tools. The registered manager demonstrated their new governance plan to us, but since the implementation of the new systems, we could not be assured how sufficient these were due to the short amount of time they had been in place. We found the service’s policies required further amendments to ensure practice was safe and effective. The service remains in breach of regulation relating to good governance, due to insufficient evidence that governance has been effective since our last assessment. These new systems required embedding into practice, ensuring the registered manager had clear knowledge and oversight of the new governance systems within their service.