Note8 Nov 2023
Infection prevention and control policies were appropriate, with regular observational audits and well-maintained living environments.
Note8 Nov 2023
Strong team ethic with staff working flexibly to support people and each other; management described as highly supportive.
Note8 Nov 2023
Reduced reliance on agency staff through improved, more person-centred recruitment, resulting in greater continuity of care.
Note8 Nov 2023
Effective partnership working with external health and social care professionals, including advocacy in multidisciplinary team meetings.
Note8 Nov 2023
Staff built strong bonds with people, celebrated their achievements, and proactively supported independence and aspirations.
Note8 Nov 2023
Person-centred care plans were in place and actively reviewed, helping staff and external professionals understand people's needs in detail.
Note8 Nov 2023
Staff demonstrated a strong knowledge of complex medicines arrangements and worked in line with STOMP principles to reduce unnecessary over-medication.
minorgovernance8 Nov 2023
The provider had recognised notifications to CQC had not always been completed in a timely way and had put in place actions to rectify this.
moderateleadership8 Nov 2023
There had been a lack of meaningful oversight at registered manager level in the months prior to our inspection, which the provider had identified and taken action on.
minorincident_learning8 Nov 2023
This system gave the functionality to learn lessons from local incidents and share more broadly. This had not happened as much as the provider would have expected.
moderategovernance8 Nov 2023
Some audits and quality checks/visits had not always happened as planned but staff had consistently provided high levels of care to people.
moderatestaff_competency8 Nov 2023
Some competence checks had not been completed in line with the provider's processes. The provider had identified this and undertaken competence checks of staff.
moderatesupervision_appraisal8 Nov 2023
Staff supervisions had not happened as regularly as the provider's policies set out. The provider had identified this and made prompt changes to address this.