Note12 Dec 2025
Duty of candour processes improved since last inspection, with evidence of detailed apologies and feedback provided to people when things went wrong.
Note12 Dec 2025
Person-centred supported living services with staff committed to maximising independence and recording people's individual goals and aspirations.
Note12 Dec 2025
Multi-layered learning culture with daily, weekly, monthly and quarterly meetings to identify trends, with active medicines and falls awareness campaigns underway.
Note12 Dec 2025
Effective infection control during COVID-19, including PPE supply monitoring, staff vaccination encouragement and detailed business continuity planning.
Note12 Dec 2025
Immediate responsiveness to CQC feedback throughout the inspection, including updating care plans, medicines records, policies and staff training materials.
Note12 Dec 2025
Robust safeguarding oversight: all concerns tracked until local authority closure, with collaborative participation in safeguarding enquiry processes.
Note12 Dec 2025
Strong partnership working with local authorities and health professionals, with professionals describing transitions and joint working as smooth and responsive.
moderategovernance12 Dec 2025
Audits identified individual records which required more person-centred detail...but did not fully identify the wider concerns we found.
minorperson_centred_care12 Dec 2025
Some care plans referred to people by the acronym 'SU' meaning service user, which was not respectful or empowering language.
moderatemissed_or_late_visits12 Dec 2025
10 care workers had a visit punctuality of less than 50% and three care workers had a punctuality of less than 30%.
moderaterecord_keeping12 Dec 2025
One person's care plan described them as having a catheter; this was not the case. Another person's support plan described them as using a walker however...they used a wheelchair.
moderatecare_planning12 Dec 2025
Some people's risk assessments lacked personalised detail, particularly for people using extra care housing or receiving care in their own homes.
criticalmedication_management12 Dec 2025
The sample of extra care records we reviewed did not evidence the safe administration of these medicines. These people's support plans and medicine administration records (MAR) lacked detailed instruc…