Note21 Feb 2024
People's needs assessed and care delivered in a person-centred, flexible way
Note21 Feb 2024
Safe infection prevention and control practices with adequate PPE supplies
Note21 Feb 2024
Provider had created a development plan and implemented new electronic management systems
Note21 Feb 2024
Staff worked well with other agencies including district nurses and social workers
Note21 Feb 2024
Positive and open culture with approachable, responsive management
Note21 Feb 2024
Sufficient numbers of suitably trained staff recruited safely with consistent carer allocation
Note21 Feb 2024
People felt safe and were positive about care; one person said 'I can't fault the care'
minorstaff_training21 Feb 2024
Some staff had completed the Care Certificate and further work was being undertaken to ensure all staff had completed this.
minorsupervision_appraisal21 Feb 2024
Systems relating to the oversight of the service had not yet been fully developed and implemented, for example in relation to the oversight of staff supervisions.
moderateincident_learning21 Feb 2024
3 recent issues, identified during the inspection were submitted retrospectively, this had been an oversight by the provider.
moderateleadership21 Feb 2024
There was no registered manager at the service. Since the last registered manager had left, the director had managed the service.
moderateconsent_capacity21 Feb 2024
A decision to hide medicines away to keep a person safe had been made, however, records were not robust enough to demonstrate relevant assessments had been undertaken.
moderatemedication_management21 Feb 2024
A new electronic system relating to medicines administration had been implemented. However, this needed amending to fully meet the needs of the service.
moderaterecord_keeping21 Feb 2024
Records were not always sufficiently robust. This related to aspects of risk management, medicines records and to demonstrate full compliance with the MCA.
criticalgovernance21 Feb 2024
Systems and processes to assess, monitor and improve the quality and safety of the service were not always effective. This was a breach of regulation 17