Note25 May 2023
Staff understood MCA principles and gained consent before providing care.
Note25 May 2023
Infection control practices were followed and PPE was available to staff.
Note25 May 2023
People and relatives reported the quality of care had improved significantly under the interim manager.
Note25 May 2023
The interim manager visited every client to obtain feedback, and communication had improved.
Note25 May 2023
Incidents and accidents were recorded, monitored and reviewed with action taken on identified trends.
Note25 May 2023
Staff had regular one-to-one supervision meetings and kept training up to date.
Note25 May 2023
Staff were recruited safely with DBS checks and references obtained before induction.
Note25 May 2023
People received their medicines safely and staff competencies were checked regularly to ensure best practice.
Note25 May 2023
Risks to people's health and safety had been assessed and risk assessments implemented with guidance for staff.
moderateleadership25 May 2023
At the time of our inspection there was not a registered manager in post. An application had been received by CQC for a manager to register.
moderatecomplaints_handling25 May 2023
One person told us they had raised a complaint at the end of 2022, and it had not been investigated.
moderategovernance25 May 2023
Some of these had been introduced in March, were now being completed and needed time to be embedded in day-to-day practice.
moderatestaffing_levels25 May 2023
The service was reliant on agency carers to cover staff sickness and was actively recruiting to increase their staff levels.
moderatemissed_or_late_visits25 May 2023
Some care calls had continued to be cancelled at short notice, relying on relative to provide support, and this was an area for improvement.
Note17 Feb 2023
The manager implemented one-to-one supervision meetings and team meetings after identifying they had not been taking place regularly.
Note17 Feb 2023
People told us staff supported them in the least restrictive way possible and gained consent before providing care.
Note17 Feb 2023
Staff worked with healthcare professionals such as occupational therapists and community nurses.
Note17 Feb 2023
Staff understood infection prevention and control measures and had adequate PPE supplies.
Note17 Feb 2023
Staff completed training to keep their knowledge up to date, including moving and handling, first aid and catheter care.
Note17 Feb 2023
People were supported by staff who had been safely recruited, with DBS checks, employment gap checks and at least two references obtained before induction.
minorrecord_keeping17 Feb 2023
When people had prescribed creams to help keep their skin healthy, there were no topical body maps to guide staff to where the creams should be applied.