Note17 Jun 2023
Registered manager and provider understood duty of candour and regulatory responsibilities.
Note17 Jun 2023
Service worked closely with other health and social care professionals including GPs, district nurses and social workers.
Note17 Jun 2023
Positive culture with people feeling known as individuals and not 'just a number'; feedback mechanisms in place including annual surveys.
Note17 Jun 2023
Effective governance and audit systems identified issues and drove continuous improvement, resolving previous Regulation 17 breach.
Note17 Jun 2023
Robust recruitment process including DBS checks to ensure suitable staff were employed.
Note17 Jun 2023
People felt safe; staff knowledgeable about safeguarding procedures and how to report concerns.
Note17 Jun 2023
Medicines managed safely with clear guidance in support plans, well-maintained MARs, regular training, competency assessments and audits.
minorcommunication_with_families17 Jun 2023
Two people and a relative felt communication between 'the office' and themselves could be better, saying on one occasion a call wasn't returned.
minormissed_or_late_visits17 Jun 2023
Some people did say they would like more consistent call times.
Note31 Oct 2020
The registered manager considered good practice guidance to keep systems up to date.
Note31 Oct 2020
The registered manager investigated concerns to learn from them and reduce recurrence.
Note31 Oct 2020
People and staff had opportunities to provide feedback and were confident concerns would be addressed.
Note31 Oct 2020
Staff understood their roles and felt well supported by management.
Note31 Oct 2020
Staff were trained in medicines administration and competency was regularly checked.
Note31 Oct 2020
People were happy with the support they received with their medicines and relatives raised no concerns.
moderateincident_learning31 Oct 2020
Systems were either not in place or were not robust enough to assess, monitor and improve the quality and safety of the service.
criticalgovernance31 Oct 2020
Although the provider's medicines audits had identified some areas that needed to improve, they had not identified all the issues we found with medicines records during this inspection.
criticalrecord_keeping31 Oct 2020
People's medicines records did not contain enough information when staff reminded or prompted people to take their medicines. There were no records kept about what medicines staff were prompting peopl…
criticalmedication_management31 Oct 2020
Records about the support people needed with their medicines were not always up to date and some did not contain enough information to support staff to manage medicines in the most effective way.
Note29 Jan 2020
Registered manager was accessible and approachable; staff and people praised leadership and management support.
Note29 Jan 2020
Staff demonstrated prompt and effective responses to health emergencies, with documented examples of life-saving interventions.
Note29 Jan 2020
Strong caring relationships evidenced by overwhelmingly positive feedback from people and relatives about staff dignity, respect and kindness.
Note29 Jan 2020
Regular supervisions (minimum four per year) and annual appraisals were in place and confirmed by staff records.
Note29 Jan 2020
Staff received comprehensive training including Care Certificate, MCA/DoLS, medication management, and a wide range of clinical topics via an in-house training officer.
Note29 Jan 2020
Sufficient staffing levels with consistent care teams providing continuity; no missed visits reported by people using the service.
Note29 Jan 2020
People felt safe and expressed confidence in care staff, with all questionnaire respondents confirming they felt safe from abuse and harm.
minorcomplaints_handling29 Jan 2020
the complaints policy required updating to include the correct information about the procedure to follow if people remained dissatisfied after the agencies response
minorgovernance29 Jan 2020
policies that we looked at had passed the annual review date.