Note26 Jan 2024
Annual surveys were carried out to gather feedback from people and staff with evidence of actions taken.
Note26 Jan 2024
Staff had access to PPE and were trained in infection prevention and control.
Note26 Jan 2024
MCA capacity assessments were in place and staff understood their responsibilities under the Act.
Note26 Jan 2024
The provider worked in partnership with community health and social care agencies.
Note26 Jan 2024
Staff felt supported by management and communication was noted positively.
Note26 Jan 2024
People and relatives reported feeling safe and happy with the support received.
Note26 Jan 2024
Accidents and incidents were recorded, investigated, and lessons learnt were documented with actions taken.
Note26 Jan 2024
Systems were in place to safeguard people from the risk of abuse and staff knew how to identify and report concerns.
minorstaffing_levels26 Jan 2024
Staff told us they did not always get a rota in advance...I only received today and working tomorrow, and it's not done for then yet.
moderatecomplaints_handling26 Jan 2024
One person we spoke with told us they had made several complaints however, there was no record or evidence of actions taken by the provider.
moderateincident_learning26 Jan 2024
We did identify one incident which had not been reported to the CQC.
moderatesupervision_appraisal26 Jan 2024
Staff supervisions did not always happen in relation to the providers policy.
moderatestaff_training26 Jan 2024
Staff were not always trained to support people with specific needs including catheter care, diabetes and learning disabilities.
moderaterecord_keeping26 Jan 2024
Action plans were not detailed and repetitive. Most outcomes included sending a message to remind staff of the issues found.
criticalgovernance26 Jan 2024
Medication audits highlighted recording issues however, issues had not improved as we continued to see medication errors whilst on inspection.
criticalcare_planning26 Jan 2024
Risk assessments did not always include detailed information about specific risks such as diabetes and catheter care.
criticalmedication_management26 Jan 2024
Staff did not always record when topical medicines such as creams were given...time sensitive medicines were not given as prescribed.