Note27 Feb 2024
Capacity assessments, best interest decisions and DoLS authorisations were properly completed and in place.
Note27 Feb 2024
The service worked in partnership with health and social care professionals to meet people's needs.
Note27 Feb 2024
Staff were committed to empowering people to be independent and positive relationships between staff and people were observed.
Note27 Feb 2024
Incidents and accidents were recorded, investigated, and lessons learnt were evidenced with debriefs provided to staff.
Note27 Feb 2024
Effective quality assurance systems including regular audits, surveys and competency assessments were in place.
Note27 Feb 2024
Robust recruitment checks were in place including DBS, identity, references and right-to-work checks.
Note27 Feb 2024
Sufficient staffing levels were in place daily and agency staff were block-booked to ensure consistency.
Note27 Feb 2024
Risk assessments were detailed and staff were knowledgeable about people's risks; positive risk-taking supported people's independence, including reduction of restrictive practices.
Note27 Feb 2024
Medicines were managed safely with effective audits, correct storage, and completed training and competency assessments for staff administering medicines.
minorrecord_keeping27 Feb 2024
We identified one person's PEEP which needed to be updated. The staff team agreed to update this immediately.
moderateleadership27 Feb 2024
The registered manager is not very present at the service; The registered manager is not very approachable. The team leaders are amazing.
moderatestaffing_levels27 Feb 2024
No, I don't think there is enough staff, staff turnover is high, when staff come, they don't know how complex peoples' needs are.
minormedication_management27 Feb 2024
1 person's medication chart could not be located and 1 medication chart where staff had not recorded the times of when paracetamol had been given.
criticalsafeguarding27 Feb 2024
We identified 5 safeguarding incidents which had not been reported to CQC. The service is required to inform CQC of significant incidents via statutory notifications which had not been sent.