Note30 Oct 2021
Open-door management culture with on-call system available out of hours
Note30 Oct 2021
Active quality assurance programme including audits, spot checks, questionnaires, and resident/relative meetings
Note30 Oct 2021
End of life care plans in place reflecting people's wishes, supported by specialist nurses
Note30 Oct 2021
Strong caring culture with staff describing the service as 'like a family'; positive feedback from people and visitors
Note30 Oct 2021
Dementia-friendly environment improvements implemented since last inspection, including pictorial menus and signage
Note30 Oct 2021
Person-centred care records updated regularly; hospital passports used on admission
Note30 Oct 2021
Staff received regular supervision, yearly appraisals, and ongoing training including in-house specialist topics
Note30 Oct 2021
Safe recruitment practices including application forms, references, and DBS checks
Note30 Oct 2021
Robust medicine management systems with regular audits and competency checks for staff
Note30 Oct 2021
People felt safe and staff demonstrated strong safeguarding knowledge and reporting responsibilities
Note24 Jan 2021
Adequate staffing levels maintained, with dependency-based calculation and electronic call bell monitoring.
Note24 Jan 2021
MCA and DoLS principles were appropriately applied with relevant applications submitted to the Supervisory Body.
Note24 Jan 2021
Care records were well organised, person-centred, reviewed monthly, and families were actively involved in care reviews.
Note24 Jan 2021
Registered manager operated an open-door culture, supported staff, and undertook regular audits across medication, health and safety, activities and environment.
Note24 Jan 2021
People and relatives were positive about care quality, with warm, respectful interactions observed between staff and residents.
Note24 Jan 2021
Safe recruitment practices followed including DBS checks, application forms, photo ID and two references for all staff.
Note24 Jan 2021
Medicines were managed, stored and administered safely in line with current guidance, with daily temperature checks and appropriate MAR records.
Note24 Jan 2021
Staff had received safeguarding training and knew how to recognise and report potential abuse; no outstanding safeguarding investigations at time of inspection.
minorcare_planning24 Jan 2021
presenting this in large print or with pictures may be more effective for people living with dementia. The registered manager said they would look into this.
moderategovernance24 Jan 2021
infection control audits we were shown had completed audits for March, April, May, August and October 2015... some of the recordings had missing information and were not as robust as it should have be…
minorperson_centred_care24 Jan 2021
lack of clear signage on doors and items such as clocks and the day and date were not displayed within the service. We heard people constantly asking what the date and time was.
minorrecord_keeping24 Jan 2021
Two of the supervision records we looked at contained paperwork that was either missing or incomplete.