Townsend Hub

“We found a breach of regulation. The provider continued to be non-compliant with regulations concerning governance and record-keeping, as further improvements were required to ensure care was consistently safe and effectively managed. Risk management was not always person-centred, and care plans lacked detail about consent and capacity. Falls mitigation strategies were generic, and monitoring of health needs such as diabetes and catheter care was inconsistent.”

“Staff said they knew people well, however felt this was impacted when they had to work across different floors. The service catered well for people who might otherwise experience health inequalities.”

“While staffing levels were sufficient, some staff felt overstretched, which affected record-keeping and training compliance. However, people did feedback that staff were kind and caring and we observed pleasant interactions.”

“Governance systems were not fully effective. Audits did not identify gaps in care planning, and lessons from incidents were not consistently embedded. While leaders were approachable and staff felt supported, improvements in oversight and continuous learning are required to drive sustained change.”

“We have asked the provider for an action plan in response to the concerns found at this assessment.”