Note24 Mar 2023
One supported living setting had robust daily communication systems with a person's representative via phone and email.
Note24 Mar 2023
Other required recruitment checks were completed including DBS checks and proof of identification.
Note24 Mar 2023
In-house professional support such as physiotherapy was provided to help improve people's mobility and independence.
Note24 Mar 2023
Some people were supported to access meaningful activities including day centres, trips and holidays.
Note24 Mar 2023
Staff spoke about people with respect and kindness; people appeared comfortable in the presence of staff.
Note24 Mar 2023
The service worked with commissioning bodies to provide bespoke adapted environments for people with complex needs at short notice.
Note24 Mar 2023
Some staff demonstrated strong knowledge of complex individual needs, including communication, behavioural and sensory requirements.
Note24 Mar 2023
Positive feedback from professionals regarding timely and appropriate referrals and staff receptiveness to support.
criticalother24 Mar 2023
Staff recruitment practices were not always fully followed...CVs were routinely accepted...gaps in employment history were not consistently identified and explored.
moderatecommunication_with_families24 Mar 2023
Some relatives told us they had not received sufficient feedback when people had sustained injuries to help them understand how these injuries may have occurred.
moderateperson_centred_care24 Mar 2023
My son doesn't get any exercise...She is not really encouraged to try new things…as far as I can gather she has only been out with staff once in the last year.
moderateleadership24 Mar 2023
One registered manager demonstrated a lack of awareness about the frequency of incidents such as a person's seizures and struggled to locate routine paperwork during our visit.
moderatesupervision_appraisal24 Mar 2023
Supervisions had not been conducted at frequencies in line with the provider's policy. Most supervision records reviewed contained minimal detail.
criticalincident_learning24 Mar 2023
The service had failed to submit notifications to CQC in line with requirements, including the failure to notify CQC of some instances of alleged abuse.
criticalstaff_competency24 Mar 2023
Medicines competency records were not available for all staff...no evidence was available that staff were trained and competency assessed to assist with the nebuliser.
moderatestaffing_levels24 Mar 2023
Sometimes always short staffed, don't think we have enough staff on every shift…makes work more strenuous…for service users, think affects them too.
criticalinfection_control24 Mar 2023
Cleaning schedules were in place for toilets and bathrooms, however despite these being fully completed these areas were not cleaned to a satisfactory standard.
criticalconsent_capacity24 Mar 2023
Mental capacity assessments were not consistently completed in line with the Mental Capacity Act 2005...some best interests checklists had been completed after the assessor documented that the person…