CSM Care Services LTD

“The provider had strengthened local leadership and oversight and had undertaken substantial work during the assessment to improve care plans, risk assessments, staff support and monitoring arrangements. Leaders were open and responsive to feedback and worked constructively with healthcare professionals, commissioners and other agencies.”

“However, the provider’s systems had not always ensured people received consistently safe care. Some care plans and risk assessments did not contain complete, accurate and current information about people’s health conditions and associated risks. Medicines records were not always clear or consistently completed, and some recruitment records did not contain all the information required to demonstrate staff had been safely recruited. Safeguarding concerns and statutory notifications had not always been reported at the required time.”

“Governance systems had not consistently identified or addressed these shortfalls before they were found during the assessment. The provider responded to the concerns and made improvements, but further oversight was required to ensure these changes were consistently implemented and sustained.”

“We found the provider was in breach of two legal regulations relating to safe care and treatment and the governance and oversight of the service.”

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