Note22 Jun 2023
The registered manager took prompt remedial action on several issues identified during the inspection.
Note22 Jun 2023
Recruitment checks were carried out to help prevent employment of unsuitable staff.
Note22 Jun 2023
Staff understood infection control responsibilities and PPE was available and used.
Note22 Jun 2023
The service worked effectively with community health and social care professionals to support positive outcomes.
Note22 Jun 2023
Competency assessments were carried out with staff to check knowledge and skills for medicines support.
Note22 Jun 2023
Staff demonstrated good knowledge of risks to people and how they were managed.
Note22 Jun 2023
Management staff provided care cover when short-staffed, ensuring people did not experience missed or shortened calls.
Note22 Jun 2023
People and relatives spoke highly of the quality of care and described staff as caring, knowledgeable and professional.
minorcomplaints_handling22 Jun 2023
7 people fed back to the service they were not aware of the complaints or compliments procedure, but no actions to remedy this had been identified.
moderatecare_planning22 Jun 2023
Information about the level of support people required was not clear for example, whether care staff administered people's medicines or provided a prompt only.
moderateconsent_capacity22 Jun 2023
The provider's process for decision making in people's best interests was not followed in their care records... records needed to be correctly completed to show principles of the MCA were followed.
criticalincident_learning22 Jun 2023
2 allegations of abuse and 1 incident reported to the police had not been notified to CQC as required.
criticalgovernance22 Jun 2023
This system had failed to identify some of the concerns we found on inspection... medication management, out of date policies, application of the MCA, reporting safeguarding concerns.
criticalsafeguarding22 Jun 2023
Not all safeguarding concerns were shared promptly with the local authority safeguarding team... The registered manager had failed to notify CQC of allegations of abuse.
criticalrecord_keeping22 Jun 2023
Information in people's care plans about risks and safety was not always comprehensive or up to date. This included information about skin injuries, prevention and treatment, catheter care.
criticalmedication_management22 Jun 2023
Guidance to support the use of medicines prescribed 'as required' (PRN) such as pain relief was not available in people's care plans.