Note1 Feb 2023
People's equality, diversity, dignity and independence were respected.
Note1 Feb 2023
Managers demonstrated duty of candour awareness and transparent communication with external organisations.
Note1 Feb 2023
Court of Protection authorisations were in place where required.
Note1 Feb 2023
Effective multi-agency working with health professionals including learning disabilities nurses, speech and language teams, and advocates.
Note1 Feb 2023
Positive and open organisational culture; staff described managers as approachable and the workplace as 'like a family'.
Note1 Feb 2023
People supported to access community activities, holidays, and maintain relationships with family and friends.
Note1 Feb 2023
Strong person-centred care with detailed care plans reflecting individual preferences and backgrounds.
Note1 Feb 2023
People were supported to have maximum choice and control, with staff working in the least restrictive way possible.
Note1 Feb 2023
Medicines were safely stored and administered, with regular medication reviews following STOMP guidance.
Note1 Feb 2023
Staffing levels were safe, with staff reporting adequate or even surplus staffing at times.
minorcare_planning1 Feb 2023
We found some examples where people's support around epilepsy could have been more detailed. The registered manager told us they were working to improve this.
minorconsent_capacity1 Feb 2023
A number of consent forms were in place for various aspects of support. However, consent to care forms were not in place.
minorinfection_control1 Feb 2023
Some peoples clothes were being washed together... The registered managers created a risk assessment during our inspection to consider and mitigate any risks.
minorincident_learning1 Feb 2023
There were limited examples of lessons learned, however, during the inspection the registered manager improved documentation to support a more robust lessons learned practice.
minorsupervision_appraisal1 Feb 2023
Staff were supported through regular supervisions, though no staff had received a recent appraisal at the time of the inspection.
minorstaff_training1 Feb 2023
No staff had received a recent appraisal at the time of the inspection. The registered manager told us they will look to implement appraisals.
moderategovernance1 Feb 2023
Quality assurance systems were in place and audits were taking place. However, we found the medicines audit and recruitment process could be more robust.
moderatemedication_management1 Feb 2023
Records relating to medicines needed improving... medicines audit and recruitment process could be more robust to identify the issues we found in the safe domain.
moderaterecord_keeping1 Feb 2023
Paperwork provided by the pharmacy did not always match medicines quantities that had been dispensed... People's medicine records did not have their photographs and date of birth on.