Recruit4care

People were at risk due to poor governance and record keeping at the service. The provider and registered person told us there were no formal quality assurance systems. This meant systems were not in place to identify areas for development and to ensure improvements were made.

Some records we requested were not available, meaning we could not be assured care had been provided in line with people's care assessments, plans, needs, wishes and choices. Risk assessments were not used to identify and reduce risks to people. Safe systems for the management of all prescribed medicines were not in place.

Necessary pre-employment checks had not been completed prior to staff commencing work with vulnerable people. Sufficient staff were employed and they had received appropriate training.

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; however, formal systems were not in place to assess people's mental capacity and ability to consent to care.

The registered person and provider acknowledged the above shortfalls during the inspection and agreed to introduced changes to improve the service.

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.