Fisher Close

Inspectors found enough staff to meet people's needs, including one-to-one support for community access. Staff knew how to protect people from abuse and relatives said staff were available.

“The service had enough staff, including for one-to-one support for people to access the community.” from the report

People were protected from avoidable harm because staff understood safeguarding responsibilities and worked with other agencies when needed.

“People were kept safe from avoidable harm because staff knew them well and understood how to protect them from abuse.” from the report

Some people did not have clear protocols for medicines given when needed. Medicine profile pages were also missing for some people, creating a risk of errors or unwanted effects.

“Records relating to medicine were not always in place as required to ensure people received their medicines safely and appropriately.” from the report

One person's care plan did not clearly describe risks linked to epilepsy and dietary needs. Inspectors said this was addressed immediately, while other care plans were still being reviewed.

“One person's care plan was yet to be reviewed, and we found it did not contain consistent, or clear information on risks relating to epilepsy or their dietary requirements.” from the report

The provider had identified some problems in an earlier audit but had not fully fixed them. Important areas were not always audited, and accident and incident information was not used to identify themes and trends.

“Governance systems were not effective at driving improvement. This placed people at risk of harm.” from the report

There was no registered manager in post at the inspection. The manager was completing their CQC registration.

“At the time of our inspection there was not a registered manager in post.” from the report