Note13 Sept 2022
Personal Emergency Evacuation Plans (PEEPs) were in place for people
Note13 Sept 2022
Service worked within the principles of the Mental Capacity Act
Note13 Sept 2022
Complaints were dealt with appropriately and within the provider's timescales
Note13 Sept 2022
Care plans were mostly person-centred with one-page profiles capturing likes, dislikes and preferences
Note13 Sept 2022
Staff knew people well, understood safeguarding and how to report concerns
Note13 Sept 2022
Safe recruitment practices followed for all staff
Note13 Sept 2022
Effective infection prevention and control measures with appropriate PPE use
Note13 Sept 2022
Competent staff supported people to manage their medicines safely with fully completed MAR charts and PRN protocols
moderaterecord_keeping13 Sept 2022
out of date language relating to people's health conditions, missing names on documentation and incorrect names on documents.
minorsupervision_appraisal13 Sept 2022
Not all staff knew who their supervisor was due to the number of recent staff changes at the office.
minorcommunication_with_families13 Sept 2022
Documents were not all available in formats suitable for people supported. For example; pictorial or easy read.
moderateperson_centred_care13 Sept 2022
Terminology within some documents was outdated and not person centred. This was mostly within documents used to describe people's behaviour and relating to continence needs.
moderatestaffing_levels13 Sept 2022
Some staff had left recently and the remaining staff team were stretched to ensure sufficient staffing levels were maintained.
moderatestaffing_levels13 Sept 2022
Staffing is a huge issue. There aren't enough staff to support [Name] to undertake activities
moderategovernance13 Sept 2022
The provider had not notified the CQC when they had experienced a significant COVID-19 outbreak resulting in a very high level of staff absence