Note6 Feb 2024
The nominated individual was open and honest during inspection and acknowledged need for improvement.
Note6 Feb 2024
Staff understood the importance of supporting people to make their own decisions and obtained consent before providing care.
Note6 Feb 2024
People were usually visited by the same staff who knew their needs and preferences.
Note6 Feb 2024
People were supported to eat and drink enough to maintain a balanced diet.
Note6 Feb 2024
Effective infection prevention and control measures; staff wore PPE consistently.
Note6 Feb 2024
Appropriate recruitment processes including DBS checks ensured only fit and proper staff were employed.
Note6 Feb 2024
People were safeguarded from the risk of abuse with effective systems for prompt action on safeguarding concerns.
minorconsent_capacity6 Feb 2024
Records did not always demonstrate people, or their legal representatives had consented to their care.
moderaterecord_keeping6 Feb 2024
Records of care and support were not accurate or up to date...we were unable to identify if people had received the care and support they required.
moderateincident_learning6 Feb 2024
Systems to monitor accidents and incidents were not effective and did not promote learning. Audits did not fully consider any emerging trends or themes.
moderateleadership6 Feb 2024
The manager had limited oversight of the day to day running of the service. There was an over reliance on senior staff members to run the service.
criticalgovernance6 Feb 2024
Quality assurance systems were not effective in identifying issues and improving the service.
moderatesupervision_appraisal6 Feb 2024
Staff supervision and support was inconsistent and did not meet the needs of all staff. Overall staff said they felt 'unsupported'.
moderatestaff_competency6 Feb 2024
Staff received medication training but did not have their competency checked. Annual competency checks are best practice to ensure staff are safe to administer medicines.
criticalstaff_training6 Feb 2024
6 staff not having medicines administration training or an assessment of their competency to safely administer medicines, 4 staff not having life support training.
criticalcare_planning6 Feb 2024
Where staff had to support a person with a catheter, there was no care plan in place to guide staff in how to safely support this person.