Thornbury Community Services

“This service was last inspected in July 2022. Following this inspection, we inspected the service as outstanding overall and good in effective. We carried out this inspection on the 7 and 8 May 2025. We had received information to suggest the quality of care had declined at the service and so we carried out a focused inspection. At this inspection, we inspected enough parts of the effective and safe domains to re-rate these key questions as well as looking at parts of the well led domain.”

“We rated Safe and Effective as good because: Staff knew how to report incidents and what to report. There had been no serious incidents in the 12 months before this inspection. We reviewed 6 care records including the risk assessments and found that staff had reflected the patients voice well. Staff were experienced and qualified, and had the right skills and knowledge to meet the needs of the patient group. Staff took all practical steps to enable patients to make their own decisions”

“Well led was rated good because: Staff were aware of the organisations values due to the work of managers to communicate these effectively. However, There were insufficient systems in place to ensure that medicines were checked and to ensure that staff received supervision. This meant that systems were not in place to ensure quality of care. We have asked the provider for an action plan in response to the concerns found at this assessment.”