About the service: Doseley Road is a registered care home for adults with learning disabilities. At the time of inspection there were three people living in the home.

People’s experience of using this service:

People did not receive care and support that was delivered in line with the Mental Capacity Act. There was no evidence that people's capacity had been assessed and best interest meetings had been held.

Governance systems were not effective at identifying and acting upon necessary improvements.

Risk assessments were not always completed to the standard required and key information was found to be lacking.

The property had not been maintained to a standard that prevented impact on the people living there. Infection control risks were increased due to work not being undertaken.

People received their medicine on time by trained staff however, missed signatures on the medicine administration records had not been highlighted

There was not a registered manager in post at the time of inspection.

Accident and incidents forms were reviewed by the provider.

People were supported by a team that worked together although concerns were raised about the volume of agency staff that had been used.

People were supported by staff who had been safely recruited.

Staff members sought advice from other professionals when necessary.

People had access to activities although there had been a reduction in the range and frequency of activities due to staff issues.

People were supported to access healthcare.

People were treated with kindness and respect and involved in day to day decisions. Although this was impacted by agency usage if the agency worker did not know the people.

People were supported to have a balanced diet.

People were supported by a staff team that had received training relevant to their role.

People were safeguarded from the risk of abuse

People had access to a complaints process but relied on others to raise concerns on their behalf.

People’s end of life wishes had been considered.

The provider worked alongside people’s families and the local authority.

More information is in the full report

Rating at last inspection: This was the first inspection of this home under its current provider therefore there was no previous rating.

Why we inspected: This was a planned comprehensive inspection, however we had received some concerns regarding the staffing levels in the home.

Enforcement: Please see the action we have told the provider to at the end of the end of the report.

Follow up: We will continue to monitor the home and the required improvements.