Note24 Jan 2024
Complaints were followed up with appropriate actions and people felt comfortable raising concerns.
Note24 Jan 2024
MCA compliance: capacity assessments completed and staff trained in MCA principles.
Note24 Jan 2024
Infection control measures were in place; staff trained in PPE use.
Note24 Jan 2024
People and relatives reported feeling safe, happy with care, and able to raise concerns.
Note24 Jan 2024
Staff felt supported by the management team and received regular supervisions and competency assessments.
Note24 Jan 2024
Accidents and incidents were recorded, investigated, and lessons learnt were documented.
Note24 Jan 2024
Safeguarding policies and procedures were in place; staff trained in safeguarding and knew how to identify and report concerns.
Note24 Jan 2024
Staffing levels were sufficient to meet people's needs and staff had enough time on calls.
moderaterecord_keeping24 Jan 2024
Records were not always detailed or accurate. We found issues relating to records within risk assessments, medicines and quality assurance processes.
moderatemissed_or_late_visits24 Jan 2024
Staff visits were not audited to ensure missed or later visits did not occur. People and their relatives told us visits were often cancelled or missed due to staff sickness.
criticalincident_learning24 Jan 2024
We identified 5 incidents which had not been reported to the CQC.
criticalgovernance24 Jan 2024
Systems were not robust enough to demonstrate effective monitoring of the quality of the service. This was a breach of Regulation 17 (Good Governance).
moderatecare_planning24 Jan 2024
Risk assessments did not always include detailed information about specific risks. One person used a wheelchair, however there was no information about the use of their harness.
criticalmedication_management24 Jan 2024
Not all staff were trained in oxygen therapy. One person's administration for oxygen therapy was not correct.
criticalmedication_management24 Jan 2024
Two people were given medication with food or fluids however, there was no covert administration documentation in place. A pharmacist had not been consulted.