Note11 May 2022
The service worked closely with healthcare professionals including community nurses and GPs.
Note11 May 2022
People and relatives received surveys and were engaged in feedback processes.
Note11 May 2022
Some risk assessments (e.g. for hoist transfers) were detailed and clear, evidencing good practice in parts.
Note11 May 2022
Staff described an open, supportive culture and found management approachable.
Note11 May 2022
Registered manager and deputy regularly carried out care visits to support staff and observe care delivery.
Note11 May 2022
Complaints were investigated thoroughly, with management meeting people and relatives and providing written outcomes.
Note11 May 2022
Infection prevention and control was well managed, with adequate PPE supply and relevant staff training.
Note11 May 2022
DBS criminal record checks and reference checks were completed for all staff.
Note11 May 2022
Staff understood how to recognise and report abuse and were confident in identifying safeguarding concerns.
Note11 May 2022
Most people and relatives gave positive feedback about care and support, describing staff as caring, well-trained and attentive to individual preferences.
moderateperson_centred_care11 May 2022
Care plans for people with a learning disability and or autism were not structured to support people to achieve their goals and aspirations.
minorcommunication_with_families11 May 2022
'TerraBlu have been very stretched lately so the times of calls are all over the place. They always turn up but don't always let me know.'
moderaterecord_keeping11 May 2022
Medicines records from December 2021 had been returned to the office for checking but had not yet been checked.
moderateincident_learning11 May 2022
One person had fallen and injured themselves in January 2022 and had been found by a staff member. This had not been appropriately recorded.
criticalgovernance11 May 2022
Audits had not picked up shortfalls in practices in relation to risk assessment, safeguarding, medicines management, staff recruitment, training, care planning, recording and notifications.
criticalstaff_competency11 May 2022
'A few times someone has come with no hoist (standing hoist) experience and I have had to talk them through this.'
criticalstaff_training11 May 2022
Training records evidenced that staff did not complete the provider's mandatory training before they commenced their shadowing shifts, induction and work.
moderatecare_planning11 May 2022
Care plans and risk assessments were inconsistent and did not always detail the relevant information staff would need to meet people's assessed care and health needs.
criticalmedication_management11 May 2022
MAR records did not list which medicines staff were giving. One person's MAR showed that staff had been giving a different amount of medicines to what was listed on the MAR.