Note15 Aug 2024
Provider worked in partnership with other health and social care organisations.
Note15 Aug 2024
Safeguarding information was provided in accessible formats including easy read booklets.
Note15 Aug 2024
People were involved in choosing food, shopping and meal planning.
Note15 Aug 2024
People were supported to attend health checks, screening and primary care services.
Note15 Aug 2024
Infection prevention and control policy was up to date and staff had completed relevant training.
Note15 Aug 2024
Recruitment and selection process included DBS checks to ensure staff suitability.
Note15 Aug 2024
Provider ensured medicines were regularly reviewed by prescribers in line with STOMP principles.
Note15 Aug 2024
People were supported to participate in a range of leisure and social activities in their local area.
Note15 Aug 2024
Staff supported people to play an active role in maintaining their own health and wellbeing, including healthy eating guidance and access to local sports facilities.
minorcommunication_with_families15 Aug 2024
some relatives told us they had not received these [surveys]. 'No questionnaire has been sent out for a long time, if ever'
minorcomplaints_handling15 Aug 2024
The provider had a complaints log in place for recording when concerns were raised. However, outcomes and actions were not always clearly documented.
minorrecord_keeping15 Aug 2024
information was not always detailed and did not accurately reflect investigation outcomes
moderatesupervision_appraisal15 Aug 2024
Where concerns were highlighted regarding staff communication and practice, the provider had not always ensured staff received supervisions in order to support them
moderateconsent_capacity15 Aug 2024
The provider could not evidence how they had considered people's capacity to make decisions...the provider had not recorded any assessments or best interest decisions in their care plans
moderateperson_centred_care15 Aug 2024
The terminology used by staff in people's care plans, daily records and incident reports was not always appropriate or respectful.
moderateincident_learning15 Aug 2024
The provider had not always managed incidents affecting people's safety well. There was a lack of investigation into possible trends and themes to learn lessons, change practice
moderatestaff_training15 Aug 2024
staff had not received training in understanding the needs of people with a learning disability and autistic people, including the use of communication tools and positive behavioural support
moderatecare_planning15 Aug 2024
People's care and support plans did not always reflect their needs and preferences or promote their wellbeing and enjoyment of life. Information was not person-centred
criticalgovernance15 Aug 2024
The provider's governance processes were not effective and had failed to hold staff to account, keep people safe, protect people's rights and provide good quality care
criticalmedication_management15 Aug 2024
a person had been supported to take a medicine prescribed on an as needed basis twice daily which should only have been administered during periods of distress
criticalsafeguarding15 Aug 2024
information of concern found during the inspection had not been escalated by staff within the organisation. This meant the registered manager was not aware of the concerns