Kirklees

Inspectors saw kind and compassionate interactions. Staff knew people well and responded to their needs.

“There was a positive culture within the service. Staff interactions with people were kind and compassionate.” from the report

People told inspectors they felt safe. Staff had safeguarding training and understood how to report concerns.

“People we spoke with told us they felt safe at the service.” from the report

Recruitment checks were completed and staffing levels were adjusted according to people’s numbers and needs.

“The provider monitored and made sure sufficient staff were deployed to safely support people.” from the report

People had access to health professionals, including GPs and therapists, to help maintain their health and wellbeing.

“People benefitted from partnership working with other local health professionals.” from the report

Managers were described as visible and approachable. Staff said they could raise concerns without fear of negative consequences.

“Management were visible, approachable and took a genuine interest in what people, staff, family, and other professionals had to say.” from the report

Medicine balances and administration records were not always accurate. Missing risk assessments, instructions and incident records meant inspectors could not be assured that medicines were managed safely.

“Systems and processes were not in place to ensure the safe management of medicines.” from the report

Audits failed to identify some of the problems found during the inspection. Actions were not always followed up or completed promptly.

“Systems designed to monitor the safety and quality of the service and take action to mitigate risk, were not robust.” from the report

Risk records, care plans and skin monitoring charts were not consistently accurate or complete. Records did not always show what action staff had taken.

“Documentation including care plans and risk assessments were not robust and provided inconsistent information.” from the report

Some capacity assessments and best-interest decisions did not clearly show how people were supported in the least restrictive way. CQC recommended improvement in this area.

“Staff did not always follow the Mental Capacity Act key principles when making best interest decisions.” from the report

Some people said they were bored and wanted more chances to go out. People did not always have clear goals to improve their quality of life and independence.

“However, some people said they were bored and would like more opportunities to go out.” from the report