Note13 Jun 2023
Provider and senior management team were open and transparent throughout the inspection and took immediate action where concerns were identified.
Note13 Jun 2023
People felt safe with individual care staff and described them as kind, respectful and dedicated.
Note13 Jun 2023
Protected characteristics were identified within care plans, respected and supported.
Note13 Jun 2023
Accidents and incidents were recorded and monitored with lessons learned shared across all services.
Note13 Jun 2023
Staff had access to PPE and infection prevention and control policy was up to date.
Note13 Jun 2023
Electronic medicines administration records (MAR) and topical cream records (T-MAR) were used.
Note13 Jun 2023
Safe and effective recruitment practices were followed.
Note13 Jun 2023
Staff had received training in safeguarding and medicines administration with competency assessments completed.
Note13 Jun 2023
People's care plans were up to date and contained person centred information.
moderateincident_learning13 Jun 2023
they had failed to identify where some incidents or concerns raised, were safeguarding and further action was required to ensure people were safe.
moderatecommunication_with_families13 Jun 2023
I have called [the office] several times, but nothing gets done... If I ring [the office] and complain it doesn't go anywhere.
moderatemissed_or_late_visits13 Jun 2023
They are supposed to be here for an hour, but I never get an hour... They can be up to an hour and a half late sometimes.
criticalgovernance13 Jun 2023
Audits being completed had not identified the concerns we found during our inspection... no overall auditing process to identify if staff arrived on time.
moderatecare_planning13 Jun 2023
People's care plans did not always contain enough information for staff to understand how to mitigate risks... other identified risks lacked sufficient detail.
moderatemedication_management13 Jun 2023
Where people were prescribed 'as and when required' medicines to be taken up to 4 times a day, there was not always a 4-hour gap in between staff administering them.
criticalstaffing_levels13 Jun 2023
one staff member visited 9 people over the course of their shift, where no travel time was allocated. The average travel time accumulated was 58 minutes.
criticalsafeguarding13 Jun 2023
we found 4 occasions where CQC had not been notified of safeguarding concerns, 3 of which had also not been shared with the local authority safeguarding team.