Note11 Oct 2023
Regular staff meetings took place to share information and maintain expected standards.
Note11 Oct 2023
Working with external consultancy firm and local authority commissioners to make improvements.
Note11 Oct 2023
Provider demonstrated responsiveness to inspection feedback and willingness to improve.
Note11 Oct 2023
People and relatives confirmed they had never had a missed care call.
Note11 Oct 2023
Staff received regular supervisions, appraisals and induction with shadowing.
Note11 Oct 2023
Staff completed mandatory training including equality and diversity, moving and handling, safeguarding, MCA, medicines administration, and first aid.
Note11 Oct 2023
Staff received medicines training and had their competency checked to ensure they were safe to administer medicines.
Note11 Oct 2023
Safe recruitment practices in place including DBS checks, employment references, proof of identification and right to work.
Note11 Oct 2023
Safeguarding systems improved; staff well informed in how to keep people safe and able to recognise signs of abuse.
moderateperson_centred_care11 Oct 2023
The provider failed to ensure staff had full access to people's care records. There was no system in place to identify whether records were present at the person's home.
moderateconsent_capacity11 Oct 2023
The questions asked as part of the assessment were not recorded to provide clear evidence about whether the person had capacity or not.
minorcomplaints_handling11 Oct 2023
There was no evidence or record of the response given to the complainant to ensure it had been responded to satisfactorily.
criticalsafeguarding11 Oct 2023
Staff performed restrictive practises without the authority or guidance to do so.
moderaterecord_keeping11 Oct 2023
Oversight of care records had failed to identify that some care plans did not contain enough detail... no guidance or detail for staff as to what the person's target blood sugar range should be.
criticalgovernance11 Oct 2023
The provider did not have systems to review electronic call monitoring (ECM) records... 17% of calls were late.
criticalmedication_management11 Oct 2023
The provider did not have risk assessments for people prescribed anticoagulant medicines. People's preferred method of taking their medicine, support required or confirmation of their level of complia…
moderatecare_planning11 Oct 2023
Care plans continued to lack information about the support people needed and their preferences. Medicines related documents were completed correctly, however medicines care plans required improvement.