Note6 Apr 2023
Staff felt valued and supported by the management team and described an open, positive workplace culture.
Note6 Apr 2023
People and relatives were positive about care quality and communication, with high satisfaction survey results.
Note6 Apr 2023
Accidents and incidents were recorded, investigated, and referred to local authority safeguarding as appropriate.
Note6 Apr 2023
People and relatives reported consistent, usually punctual care from familiar carers.
Note6 Apr 2023
Staff followed safe infection prevention and control processes and always had access to adequate PPE.
Note6 Apr 2023
Staff understood how to recognise and report signs of abuse; people felt safe and supported.
Note6 Apr 2023
People received their medicines safely and as prescribed, with electronic recording and regular competency checks.
criticalsafeguarding6 Apr 2023
Checks had not been consistently completed to make sure new staff were safe to work with people...a staff member's file noted they had provided 2 references. There was no reference on file.
minorsupervision_appraisal6 Apr 2023
One to one staff supervision meetings had not been held regularly. This had been identified and staff had begun to meet with their line managers.
criticalincident_learning6 Apr 2023
We identified 2 incidents...reported to the local safeguarding authority, that had not been reported to the Care Quality Commission (CQC) in line with guidance.
criticalleadership6 Apr 2023
There was no registered manager at the service...The nominated individual did not have clear oversight of the day to day running of the service.
moderaterecord_keeping6 Apr 2023
Some checks and audits had not been recorded regularly...office staff made sure that late calls were monitored...however, this was not recorded.
criticalgovernance6 Apr 2023
Systems to assess, monitor and improve the quality and safety of the service had not been operated effectively. This is a breach of Regulation 17.
moderatestaff_training6 Apr 2023
When a person had a catheter...there was no information to guide staff to the possible risks of infection, for example changes in the colour of urine.
moderatestaff_competency6 Apr 2023
There was no detailed guidance to ensure staff used the hoist safely. There was a risk new staff may not have the step by step guidance to ensure people were moved safely.
criticalcare_planning6 Apr 2023
Risks to people's health, safety and welfare had not been consistently assessed. There was a lack of guidance for staff about how to keep people safe.