Note28 Sept 2022
Management team were candid and acted on issues raised during the inspection.
Note28 Sept 2022
The service was described as person-centred with an approachable management team open to feedback.
Note28 Sept 2022
People were supported to maintain nutrition and hydration and to access healthcare services.
Note28 Sept 2022
Care plans were comprehensive and assessed people's specific needs, using tools like the Waterlow score.
Note28 Sept 2022
Staff were recruited safely with DBS checks and there were enough staff to cover care calls.
Note28 Sept 2022
People and relatives told us they felt safe using the service and risks were assessed adequately.
minorinfection_control28 Sept 2022
One relative told us some staff do not wear PPE.
moderateincident_learning28 Sept 2022
we also saw an incident report of a person who had a fall but there were no recorded actions to reduce further risk of falls.
moderaterecord_keeping28 Sept 2022
records of staff signing to confirm they had read people's care plans were not complete
moderateleadership28 Sept 2022
There had been no registered manager in post at the service since October 2021.
criticalgovernance28 Sept 2022
Medicines audits had not been completed since May 2022. This meant that staff errors could have been missed.
criticalgovernance28 Sept 2022
The provider failed to ensure that effective governance systems were in place. This is a breach of regulation 17(1) (Good Governance)
moderateconsent_capacity28 Sept 2022
Three further care plans we reviewed did not include signed consent from people or legal representatives.
moderatesupervision_appraisal28 Sept 2022
Most staff had not received a one to one supervision to review their practice and professional development since the new management team was put in place in January 2022.
moderatestaff_training28 Sept 2022
seven staff members had not completed up to date training in topical medicines
moderatestaff_training28 Sept 2022
Staff had not completed training in the MCA and did not always have a full understanding of the MCA.