Note25 Aug 2023
Positive staff culture with staff feeling well supported and proud of their work.
Note25 Aug 2023
Accidents and incidents reviewed with lessons learnt shared in team meetings and supervisions.
Note25 Aug 2023
Good communication with people and families, including when staff were running late.
Note25 Aug 2023
Staff delivered care in a person-centred way and were able to describe people's support needs without referring to paperwork.
Note25 Aug 2023
Robust infection prevention and control system with management spot checks.
Note25 Aug 2023
Comprehensive staff induction with shadowing until confident to work alone.
Note25 Aug 2023
Sufficient staffing levels with no missed calls reported and staff spending appropriate time with people.
Note25 Aug 2023
Effective safeguarding systems in place; concerns appropriately reported and actioned.
minorperson_centred_care25 Aug 2023
Care plans did not contain sufficient information about people's likes, dislikes and preferences when it came to how their care was delivered.
moderatecare_planning25 Aug 2023
Care plans did not contain sufficient information about people's likes, dislikes and preferences when it came to how their care was delivered.
criticalgovernance25 Aug 2023
Quality assurance and governance systems were in place but were not always effective. Audits had not always identified the issues we found with care plans and medicines records.
criticalrecord_keeping25 Aug 2023
The registered manager had not ensured records were accurate, comprehensive and up to date. We found some care records contained outdated or inaccurate information.
criticalmedication_management25 Aug 2023
We found gaps in medicine administration records (MAR). As staff had not always signed these it was not possible to say whether medicines had been administered as prescribed.
Note30 Oct 2021
Strong multi-disciplinary partnership working with GPs, social workers, community health, and specialist nurses
Note30 Oct 2021
Good MCA understanding and application by registered manager and staff
Note30 Oct 2021
Effective complaints process; people confident concerns would be handled appropriately
Note30 Oct 2021
Robust quality assurance including audits of care planning, training, health and safety, accidents, and medication
Note30 Oct 2021
Open-door management style with positive staff culture and low turnover; several staff with 13+ years service
Note30 Oct 2021
Registered manager with 15+ years at service and 30+ years health and social care experience, also a qualified nurse