Note29 Feb 2024
People supported to maintain relationships, attend activities and religious services in the community.
Note29 Feb 2024
Good infection prevention and control practices with dedicated cleaning team.
Note29 Feb 2024
Open and positive culture; staff felt supported and supervision frequency had increased.
Note29 Feb 2024
Registered manager was responsive to inspection feedback and took immediate corrective action on issues raised.
Note29 Feb 2024
End of life care was well planned with anticipatory medicines in stock and families involved in discussions.
Note29 Feb 2024
Strong family liaison role supporting communication and complaints resolution.
Note29 Feb 2024
Provider worked in partnership with GP surgery and external professionals, with positive feedback from visiting professionals.
Note29 Feb 2024
People were supported to have maximum choice and control in the least restrictive way in line with MCA.
Note29 Feb 2024
Sufficient staffing numbers maintained with safe recruitment processes including DBS checks.
Note29 Feb 2024
People were safeguarded from abuse and avoidable harm; staff trained in recognising and reporting abuse annually.
minorperson_centred_care29 Feb 2024
People raised some concerns about call bells and the mealtime experience, these areas were not being effectively monitored.
minorincident_learning29 Feb 2024
More robust recording of the outcomes was needed. We noted on accident and incident forms not all the areas were completed after an incident.
minormedication_management29 Feb 2024
The guidance was often generic stating 'give for agitation' without describing what agitation looked like for each individual.
moderatecare_planning29 Feb 2024
The provider's electronic care planning system had limited their ability to create bespoke care plans for health conditions such as, diabetes.
moderategovernance29 Feb 2024
The providers systems did not always effectively monitor the quality of the care provided to drive improvements.
moderaterecord_keeping29 Feb 2024
We found gaps in various records during the inspection process which made it difficult to establish what actions had or had not been taken.