Dalemain House

“People were not always provided with safe care and treatment. The provider failed to effectively analyse accidents and incidents to identify patterns and prevent recurrence. Learning from incidents was not shared with the staff team to support continuous improvement.”

“The environment posed fire and safety risks. Furniture was unsecured, window restrictors were missing, and people had unrestricted access to high-risk areas within the home. The provider did not always manage medicines safely.”

“Staff completed online training; however, the provider did not deliver face to face training or carry out competency assessments so there was no assurance staff were competent to carry out their roles.”

“Governance systems and processes were not robust, which impacted the provider’s ability to assess, monitor and improve the quality of care people received. The provider demonstrated limited understanding of regulatory requirements and risk management. In some cases, they failed to notify CQC about incidents and safeguarding concerns. The service has operated without a registered manager since 2021; this concern was highlighted in the previous assessment which was carried out in 2022.”

“Care plans and risk assessments lacked clear guidance for staff on how to manage individual risks for some people.”

“People did not always receive care that was person centred. People had limited opportunities to engage in meaningful and stimulating activities.”

“Staff were caring, compassionate and demonstrated a good understanding of people’s needs. Their interactions with people were positive, and they collaborated effectively with other agencies to ensure consistent care.”

“In instances where CQC has begun a process of regulatory action, we may publish this information on our website after any representations and/or appeals have been concluded, if the action has been taken forward.”