Note29 Jan 2020
Transparent, democratic leadership culture with 360-degree staff feedback and whistleblowing policy
Note29 Jan 2020
Effective quality assurance systems including announced and unannounced spot checks and care plan audits
Note29 Jan 2020
Complaints procedure in place with all complaints resolved to complainants' satisfaction
Note29 Jan 2020
People supported to engage in social, recreational, and work-related activities promoting independence
Note29 Jan 2020
Strong person-centred culture with staff matched to individuals to promote caring relationships
Note29 Jan 2020
People's nutritional and healthcare needs proactively met in partnership with health professionals
Note29 Jan 2020
Staff well-trained and supported through induction, supervision, and appraisal
Note29 Jan 2020
Medicines safely managed with staff trained and competency-assessed
Note29 Jan 2020
Sufficient staffing levels with a relief bank ensuring continuity of care
Note29 Jan 2020
Thorough values-based recruitment process including DBS checks, references, and pre-interview observation
Note29 Jan 2020
People were kept safe with robust safeguarding knowledge among staff and management
moderateconsent_capacity29 Jan 2020
there was no provider assessment in place to assess people's capacity to make informed decisions about their day-to-day care.
moderateconsent_capacity29 Jan 2020
there was no policy guidance or written procedures in place to guide staff in the application of the MCA, which includes a 'best interest' approach.
Note11 Jun 2019
The registered manager worked with key stakeholders and participated in regional meetings to share best practice
Note11 Jun 2019
Questionnaires and surveys were completed annually with staff, people using the service and professionals
Note11 Jun 2019
Alternative communication methods (iPad, Makaton, PEG boards) were used to support people to express their views
Note11 Jun 2019
The service had a dignity champion and a dignity charter centred on the person supported
Note11 Jun 2019
Hospital passports were in place for each person to ensure safety during hospital admissions
Note11 Jun 2019
People were involved in developing and reviewing their care plans and views were incorporated into support delivery
Note11 Jun 2019
Staff received comprehensive induction, regular training, supervision and annual appraisals
Note11 Jun 2019
Staff received training in administering medicines and competency was checked; MAR records were audited
Note11 Jun 2019
Risk assessments were routinely completed and updated when people's circumstances changed
Note11 Jun 2019
Staff had a good understanding of safeguarding procedures and concerns were escalated effectively
moderategovernance11 Jun 2019
analysis was not undertaken on the themes and trends across all accidents and incidents. This did not allow the registered manager to address potentially larger and more complex concerns
moderateincident_learning11 Jun 2019
analysis did not allow for the identification of themes and trends upon which action could be taken