Note12 Aug 2023
The service worked in close partnership with other health and social care agencies.
Note12 Aug 2023
100% of people surveyed in June 2023 had confidence and trust in the staff supporting them.
Note12 Aug 2023
The provider responded promptly to inspection findings, commissioning a comprehensive audit and action plan.
Note12 Aug 2023
Safe recruitment checks were in place to ensure only suitable staff were employed.
Note12 Aug 2023
Staff received induction, supervision, and training to carry out their roles effectively.
Note12 Aug 2023
Effective infection control measures were in place and staff had access to personal protective equipment.
Note12 Aug 2023
Staff received safeguarding training and had a good understanding of how to recognise and report abuse.
Note12 Aug 2023
Safe and consistent staffing levels were in place with good feedback on punctuality and call times.
Note12 Aug 2023
People and relatives spoke positively about person-centred care and felt safe and secure with staff.
minorrecord_keeping12 Aug 2023
Care records could be improved to ensure they contained more individualised information about people's needs and goals.
moderatecare_planning12 Aug 2023
One person had fallen and there were no risk assessments in place.
moderateincident_learning12 Aug 2023
Accidents and incidents were reported, and action taken to mitigate the risk of events occurring...the registered manager did not have a system to analyse and review themes and trends.
criticalgovernance12 Aug 2023
Robust systems were not in place to monitor, review and improve the quality and safety of the service. This placed people at risk of harm. This was a breach of regulation 17(1).
criticalmedication_management12 Aug 2023
Where people were prescribed regular doses of medication, the time of administration was not recorded. This meant we were not assured there was the prescribed gap between doses.
criticalmedication_management12 Aug 2023
Medicines administration records (MARs) were handwritten and did not always provide clear information to staff about how to administer people's medicines.