Note12 Feb 2022
Registered manager supported staff development including language courses for those with English as a second language.
Note12 Feb 2022
Strong person-centred culture with consistent positive feedback from people and relatives about staff kindness, dignity and respect.
Note12 Feb 2022
Governance improved following previous breach of Regulation 17; audit systems now provide effective oversight of quality and safety.
Note12 Feb 2022
Communication needs met through bilingual staff and documentation available in people's chosen languages, resolving previous breach of Regulation 10.
Note12 Feb 2022
Complaints policy overhauled following previous breach of Regulation 16; complaints now categorised, analysed for trends, and used to inform training.
Note12 Feb 2022
Care plans included up-to-date risk assessments, people's communication needs, and protected characteristics under the Equality Act 2010.
Note12 Feb 2022
Staff trained in IPC with regular spot checks to ensure PPE use in practice.
Note12 Feb 2022
Medicines administered safely using electronic MAR charts with regular competency checks and manager audits.
Note12 Feb 2022
Recruitment practices strengthened following previous breach of Regulation 19; DBS checks and references consistently obtained.
Note12 Feb 2022
Safeguarding systems improved from previous breach of Regulation 13; staff demonstrated clear understanding of abuse recognition and reporting responsibilities.
Note29 Jan 2020
People involved in care planning, reviews, and provided feedback via six-monthly questionnaires
Note29 Jan 2020
Monthly record audits and spot checks on staff competency conducted by registered manager
Note29 Jan 2020
Open culture with 24-hour emergency phone, regular staff meetings, and whistleblowing awareness
Note29 Jan 2020
Complaints investigated fully with follow-up monitoring to prevent recurrence
Note29 Jan 2020
Dignity award received from local health trust following staff training and observations
Note29 Jan 2020
People supported in their preferred language, including Punjabi-speaking staff matched to service users
Note29 Jan 2020
Staff received regular training, induction including Care Certificate, and quarterly supervisions
Note29 Jan 2020
Medication Administration Records completed fully with monthly manager audits
Note29 Jan 2020
Robust recruitment procedures including DBS checks and references in place
Note29 Jan 2020
Staff understood how to recognise and report abuse; no safeguarding concerns identified