Note13 Sept 2023
People were involved in decisions about risk management and the service sought feedback via surveys and newsletters.
Note13 Sept 2023
Medicines were otherwise stored securely at correct temperatures, and staff competency-assessed annually.
Note13 Sept 2023
MCA and DoLS requirements were being met appropriately.
Note13 Sept 2023
Staff worked effectively with external professionals and agencies.
Note13 Sept 2023
New manager acted promptly on independent assessment findings, prioritising safety issues and creating improvement trackers.
Note13 Sept 2023
Incident recording and learning processes were in place, including a new lessons learnt form for falls.
Note13 Sept 2023
Processes were in place to safeguard people from abuse, with staff trained and knowledgeable about reporting.
Note13 Sept 2023
Sufficient staffing levels were maintained with shift leadership by senior carers and a duty manager.
Note13 Sept 2023
People reported feeling safe and well cared for by staff who knew them well.
minorinfection_control13 Sept 2023
We were not assured that the provider's infection prevention and control policy was up to date.
minorsupervision_appraisal13 Sept 2023
The provider had commissioned an independent assessment... the report had identified a number of aspects requiring improvement, including: staff supervision.
moderatestaff_training13 Sept 2023
The provider had commissioned an independent assessment... the report had identified a number of aspects requiring improvement, including: incident reviews, recruitment, nutrition, staff supervision,…
moderateleadership13 Sept 2023
There had been 3 managers of the service since January 2022. Governance processes had not been operated effectively prior to the new manager starting.
moderategovernance13 Sept 2023
Audits completed from January to March 2023 had not identified issues overall, however, the external assessment identified a range of issues.
moderaterecord_keeping13 Sept 2023
People did not have a falls risk assessment as per the providers policy and national guidance... their care plans did not mention their re-positioning needs.
moderatemedication_management13 Sept 2023
Two people had thickeners for their drinks which was stored in their unlocked bedrooms, this did not reflect national patient safety guidance.
moderatemedication_management13 Sept 2023
Staff had administered the cream from an existing supply, which was not dated with the date of opening. Staff should only administer a medicine which has either been prescribed or authorised.