Empyrean Care Group

“Since our last inspection an external management consultancy service had been instructed to provide management support and overhaul their governance systems to improve the safety and quality of the service. Overall, we found improvements had been made by the provider and they were no longer in breach of the regulations. At the time of our inspection, there was no registered manager in post to deal with the day-to-day management of regulated activities. We have requested further information in relation to this matter, to be completed within a specified timeframe for assurance.”

“Staff now delivered support in a person-centred way. Leaders were involved in delivering support to people for some of the week, whilst completing management tasks at other times, they were still being supported by an external consultant to do this. Lessons were identified when things went wrong, as accidents and incidents were reported and analysed. Systems were in place to protect people from the risk of abuse. People were involved in managing their risks, and staff supported people safely. Systems were now in place to monitor people’s clinical needs. Staff and leaders were being supported in their roles by way of ongoing training, supervision, spot checks and meetings.”

“Further work was needed to ensure the practices and systems introduced were used effectively, and more time was needed for these to become fully embedded as the service expanded. This includes ensuring leaders fully understand their responsibilities and ensure any potential risks to people’s safety are always prioritised in a timely way, learnt from, and used to embed good practice.  ”