Note26 Sept 2023
The service worked in partnership with health and social care professionals when concerns arose about people's wellbeing.
Note26 Sept 2023
The management team were responsive to inspection findings and gave assurances of corrective action.
Note26 Sept 2023
Settings visited looked clean and infection control environments were satisfactory.
Note26 Sept 2023
The provider had improved their arrangements for safeguarding people's finances, introducing a clear protocol for managing people's monies.
Note26 Sept 2023
People who used the service told us they were happy with the staff who supported them; staff were observed interacting positively with people.
Note26 Sept 2023
Recruitment processes were robust and ensured staff were suitable to work with people who used the service.
minorinfection_control26 Sept 2023
we saw several examples where staff were not wearing face masks even though national guidance stated these should always be worn.
moderatestaff_training26 Sept 2023
Staff told us they had received appropriate training, but we did not receive training records to confirm this.
criticalleadership26 Sept 2023
Leaders did not have the knowledge, experience and oversight to lead a safe service. This placed people at increased risk of harm.
moderaterecord_keeping26 Sept 2023
at one setting, there were missing sections of care records. At another setting, daily records lacked evidence of a person-centred approach.
moderatecommunication_with_families26 Sept 2023
A relative raised a concern with us because the service had not involved them in developing the person's care and support.
moderatecare_planning26 Sept 2023
one person had a personal choice record which was detailed and specific but had not been reviewed since March 2018 and was out of date.
moderateperson_centred_care26 Sept 2023
one person's care records stated they liked to assist staff to do the household weekly shopping. Staff confirmed the person did not participate in the household shopping
criticalincident_learning26 Sept 2023
one person had three falls in August 2022 and was admitted to hospital after the third fall. The person's risk assessment and support plan had not been reviewed
criticalgovernance26 Sept 2023
The provider had completed quality audits, but these were not effective and did not drive the required improvements.
criticalstaffing_levels26 Sept 2023
one person should have received 56.5 hours over a week but had only received 49 hours