Note12 Jul 2023
The provider had implemented an action plan to address training completion gaps.
Note12 Jul 2023
Some people spoke positively about their regular carers and felt safe with them.
Note12 Jul 2023
Staff wore necessary PPE and up-to-date infection control policies were in place.
Note12 Jul 2023
Medicines audits had identified a number of issues which were addressed timely.
Note12 Jul 2023
Staff administering medicines had received training and been assessed as competent.
Note12 Jul 2023
Risk assessments were in place covering environment, infection control and health and safety.
Note12 Jul 2023
New staff were recruited safely with all necessary pre-employment checks completed including DBS, references and right to work verification.
minorcomplaints_handling12 Jul 2023
I have had to complain about a few things...They said they would investigate, but no-one has come back to me.
moderatecare_planning12 Jul 2023
We identified some inaccuracies and omissions within the care plans we viewed on inspection. These issues had not been picked up by the registered manager.
moderatesupervision_appraisal12 Jul 2023
An action plan linked to supervision completion, care plan review completion, staff observations and competency checks, all of which were not up to date.
moderatecommunication_with_families12 Jul 2023
No surveys or questionnaires had been circulated since the last inspection in May 2021.
moderateincident_learning12 Jul 2023
Prior to this system being implemented, it was not clear what analysis had been completed of incidents and accidents.
moderaterecord_keeping12 Jul 2023
The directions for how to administer a person's medicine had not been updated following a GP review.
moderatesafeguarding12 Jul 2023
Training records showed significant gaps in completion rates for safeguarding training.
moderatemedication_management12 Jul 2023
2 people's medicine administration records (MAR) contained incorrect information regarding their allergy status.
criticalgovernance12 Jul 2023
There was no clear audit schedule in place, which detailed what audits and monitoring was completed and how often.
criticalperson_centred_care12 Jul 2023
People who had specifically requested female care staff, due to requiring personal care, had, on occasions, been supported by male care staff.
criticalmissed_or_late_visits12 Jul 2023
The times they come vary greatly, today was 9am but sometimes it's 10am or even later