Note18 Mar 2022
Relatives reported staff were well-trained and people were safe and comfortable
Note18 Mar 2022
Recruitment checks captured full employment histories with gaps recorded
Note18 Mar 2022
Personal emergency evacuation plans in place for each person
Note18 Mar 2022
Robust risk assessments including bespoke ones for activities such as horse riding and swimming
Note18 Mar 2022
Effective partnership working with health and social care professionals
Note18 Mar 2022
Person-centred care promoting dignity, privacy and human rights
Note18 Mar 2022
Strong focus on supporting people to be independent, develop their skills and access their local community
Note18 Mar 2022
Infection control policies and procedures were in place to keep people safe
Note18 Mar 2022
People received their medicines as prescribed and on time
Note18 Mar 2022
Systems were in place to protect people from the risk of abuse and harm
minorstaff_competency18 Mar 2022
improvements could be made to the recorded information gathered after completing a competency check such as themes, lessons learned, and action taken following a competency check.
minorsafeguarding18 Mar 2022
We found improvements were required to DBS risk assessments to ensure they were specific to the individual concern and how that could potentially have an impact on people.
moderatestaff_training18 Mar 2022
We also found inconsistences in training records with some staff members training expired and requiring updates or refreshers.
moderatemedication_management18 Mar 2022
Audits conducted had not identified the gaps we found in one person MARS charts.
moderaterecord_keeping18 Mar 2022
We found inconsistencies in care records and changes to some people's health conditions had not been reflected in care plans.
criticalgovernance18 Mar 2022
The provider's audits to monitor the quality of the service were not consistently effective in identifying issues.