Note17 Mar 2021
Registered manager ensured clear IPC policies and procedures were in place aligned to national guidance
Note17 Mar 2021
Staff worked additional shifts and helped with cleaning to ensure continuity of care and minimise cross-service movement
Note17 Mar 2021
Video calls and window visits facilitated in line with national guidance
Note17 Mar 2021
Staff responded proactively to external IPC advice, sourcing clip-on pens and hand sanitisers to reduce unnecessary contact
Note17 Mar 2021
Temperature checks and ample PPE and handwashing facilities at entry points with clear signage
Note29 Jan 2021
Regular health and safety checks up to date including fire, gas, electrical and water safety
Note29 Jan 2021
Robust recruitment and selection processes including DBS checks and employer references
Note29 Jan 2021
Registered manager described as approachable by both people using the service and staff
Note29 Jan 2021
People were treated with dignity, respect and patience; 14 out of 18 questionnaire respondents confirmed staff were always kind and respectful
Note29 Jan 2021
Monthly medicines audit successfully implemented following previous inspection breach, identifying and tracking MAR gaps
Note29 Jan 2021
Incidents and accidents were logged, investigated and used to update risk management plans
Note29 Jan 2021
Staff demonstrated good understanding of the Mental Capacity Act 2005 and sought consent before providing care
Note29 Jan 2021
Sufficient staffing levels with shift patterns organised around people's needs
Note29 Jan 2021
Staff had a good understanding of safeguarding adults and whistle blowing procedures
Note29 Jan 2021
People told us they felt safe and gave consistently positive feedback about staff care: 'The care is fantastic', 'They are my guardian angels'
minorrecord_keeping29 Jan 2021
three different medicines risk assessment formats in use...some risk assessments we viewed were specific to the person being supported whilst others were generic.
moderategovernance29 Jan 2021
these checks were ad hoc and had not been consolidated into a structured programme of quality assurance checks.
moderategovernance29 Jan 2021
the provider had not made all of the required statutory notifications to the Care Quality Commission...the provider had not submitted statutory notifications for two incidents
minorcare_planning29 Jan 2021
review records were usually brief and did not provide a meaningful update as to how the person was. For example, staff recorded comments such as 'no changes required at present'
moderatecare_planning29 Jan 2021
Some people who used the service did not have up to date care plans that met their current needs...a clear timescale had not been set to complete this piece of work.
criticalstaff_training29 Jan 2021
moving and handling training was overdue for six out of 14 staff...one of the six staff whose training was overdue had been involved in an incident in February 2015 relating to inappropriate moving an…
Note24 Jan 2021
Action plan commitments made following the March 2015 inspection were fully met.
Note24 Jan 2021
New manager implemented a colour coded training matrix on the wall to identify when future update training was required.
Note24 Jan 2021
Staff had completed overdue moving and handling and food hygiene training by the time of this inspection.
criticalstaff_training24 Jan 2021
6 out of 14 staff had not completed moving and handling training... one of these staff members had been involved in an incident relating to inappropriate moving and handling.
Note14 Feb 2020
Strong partnership working with external professionals including district nurses, social workers and therapists.
Note14 Feb 2020
Effective use of assistive technology (Canary system) to promote independence and safety.
Note14 Feb 2020
Well-led service with engaged manager who listened to staff and people; breach of Regulation 17 resolved since last inspection.