Inspectors said risks to protect residents from avoidable harm at Springside, in Halcombe, were not always properly assessed.
When CQC inspectors visited, there were five people in the home, which has capacity for eight people with mild to moderate learning disabilities.
The report said: “Risks to people were not always properly assessed to protect them from avoidable harm.
“Not all environmental risks for people using the service had been assessed as safe.
“People were supported by staff who knew them well and understood their needs. However, care plans and risk assessments were not always up-to-date.”
It added: “People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.”
The report said: “People received support from staff who were not always trained appropriately to support people.
“People received their medicines in line with their preferences by staff who knew people well.
“Staff mostly followed systems and processes to safely administer medicines, however improvements were needed to ensure medicines were stored safely, and staff received appropriate training and competency assessments.
“People received kind and compassionate care. Staff protected and respected people’s privacy and dignity.”
The inspectors said improvements were needed to make sure there were effective systems to monitor the quality of the service and plan improvements.
They said: “People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff.
“Throughout the inspection we observed that staff were respectful of people and took time to offer support and reassurance when needed.
“Staff and the management team at the service spoke positively about people within the service and wanted people to live their best lives.”
In conclusion the report said: “We have identified breaches in relation to risk management and the management of the service at this inspection.
“We have also made recommendations in relation to medicines and infection control.”
It added: “We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety.
“We will work alongside the provider and local authority to monitor progress.”
