Note14 Feb 2023
People reported feeling very safe and staff described adequate travel time between visits.
Note14 Feb 2023
Provider works in partnership with Skills for Care and achieved Investors in People award.
Note14 Feb 2023
Open and positive culture; people, relatives and staff reported high satisfaction and good communication.
Note14 Feb 2023
Comprehensive quality assurance systems including medicines audits, care plan reviews, risk assessment reviews, and staff spot checks.
Note14 Feb 2023
Robust safeguarding policies in place; staff trained and able to articulate reporting responsibilities.
Note14 Feb 2023
Electronic medicines recording system with real-time alerts introduced; regular medicines audits carried out; no unexplained gaps in MAR records.
Note14 Feb 2023
Electronic visit monitoring system introduced to track staff punctuality and address timekeeping issues, with significant improvement since last inspection.
moderateleadership14 Feb 2023
At the time of our inspection there was not a registered manager in post. A manager had been appointed and the provider told us it was their intention that the manager would apply to register with CQC…
minorother14 Feb 2023
staff application forms asked prospective staff to declare their 'Ethnic heritage'. We discussed this with the nominated individual who agreed that the question should not be asked.
minorrecord_keeping14 Feb 2023
for two people who had recently started using the service, no risk assessments had yet been carried out.
Note30 Oct 2021
Staff morale high with recognition including graduation ceremonies for qualifications
Note30 Oct 2021
Quality assurance through monthly tele-monitoring and annual satisfaction surveys
Note30 Oct 2021
Open-door leadership culture with approachable registered manager and director
Note30 Oct 2021
Strong community links including free day centre for elderly women and charity fundraising
Note30 Oct 2021
Robust complaints handling with timely investigation and amicable resolutions
Note30 Oct 2021
Flexible, person-centred care matching staff to people's cultural, religious and personal preferences
Note30 Oct 2021
Annual appraisals, regular supervision and spot checks completed for all staff
Note30 Oct 2021
Strong safeguarding awareness with staff able to explain reporting procedures for abuse
Note30 Oct 2021
Comprehensive risk assessments completed and updated as people's conditions changed
Note30 Oct 2021
Medicines managed safely with staff assessed as competent before being permitted to administer
minorstaff_competency30 Oct 2021
five people and their relatives told us that their enquiries were sometimes misunderstood at times by staff working at the office.
moderatecommunication_with_families30 Oct 2021
some people had reported communication barriers. One relative told us, 'Training needs to be given to staff and they need to be fluent in English.'
moderatestaff_training30 Oct 2021
training for essential topics such as Mental Capacity Act (MCA) and first aid was out of date.
Note15 Jan 2021
Provider worked with external agencies including Skills for Care and attended local authority provider forums.
Note15 Jan 2021
Effective PPE use and infection prevention and control measures in place.
Note15 Jan 2021
Provider conducted quarterly surveys with staff, people and relatives.
Note15 Jan 2021
Positive open culture reported by staff and people using the service.
Note15 Jan 2021
Accidents and incidents were reviewed with follow-up actions to reduce recurrence.
Note15 Jan 2021
Staff understood safeguarding responsibilities and the provider had a safeguarding adults policy.
Note15 Jan 2021
Risk assessments were in place, subject to annual review, covering medicines, personal care, skin integrity, moving and handling and communication.