Honeybourne House

“We looked at 11 quality statements; Safeguarding, Involving people to manage risks, Safe and effective staffing, Medicines, Safe environments, Learning culture, Consent to care and treatment, Shared direction and culture, Capable compassionate and inclusive leaders, Partnership and communities and Governance, management, and sustainability. We found 7 breaches of the legal regulations in relation to safeguarding, safe care and treatment, need for consent, person centred care, staffing, premises and equipment, and governance. We have asked the provider for an action plan in response to the concerns found at this assessment.”

“We identified some concerns regarding the environment and asked the provider to take action to address some of those concerns.”

“The service was not able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture, and best practice guidance. This meant people were at risk of not receiving the care and support that promoted their wellbeing and protected them from harm.”

“The manager was not able to provide assurance, that there were sufficient staff on duty to meet people’s assessed needs.”

“Governance systems and audits were in place however, more work was needed to ensure they provided an accurate view of service and drove improvements in a timely way.”