Note12 Jan 2024
A duty of candour policy was in place and understood, with evidence of its application.
Note12 Jan 2024
The management team had identified shortfalls and had an action plan in place to address them.
Note12 Jan 2024
People and relatives gave positive feedback about their regular care workers, describing them as caring and marvellous.
Note12 Jan 2024
Safeguarding referrals were made appropriately when concerns were identified.
Note12 Jan 2024
Medicine administration record audits were undertaken and actions taken where discrepancies were identified.
Note12 Jan 2024
The service had systems to learn lessons from complaints and incidents, including a quarterly lessons learned log.
Note12 Jan 2024
Care workers were recruited safely, including up-to-date DBS checks.
moderateleadership12 Jan 2024
At the time of our inspection there was not a registered manager in post. The previous registered manager deregistered on 5 December 2022.
minorcommunication_with_families12 Jan 2024
Some people and relatives told us they did not receive a rota so were not sure when their care visits were to be and by whom. One person said, 'I just have to lie here and wait.'
moderateperson_centred_care12 Jan 2024
We identified from a person's daily notes that they had been supported by care workers on one visit, which was not dignified or demonstrated the person was being listened to.
moderateinfection_control12 Jan 2024
we received feedback from some people that care workers did not always wear aprons...Spot checks on staff had not been kept up to date to ensure staff were practicing good infection control.
moderatemedication_management12 Jan 2024
changes in people's medicines were not always uploaded onto the electronic system...one relative told us their family member had been given their medicines twice.
moderatesupervision_appraisal12 Jan 2024
The system for monitoring and supporting staff had not been kept up to date. This included supervisions, spot checks and competency checks.
criticalgovernance12 Jan 2024
Systems were not robust to assess, monitor and mitigate risks to the health, safety and welfare of people using the service. This placed people at risk of harm.
criticalstaff_competency12 Jan 2024
Competency checks and observations on care workers during their usual work practice had not been kept up to date to ensure care workers were supporting people safely.
moderatestaffing_levels12 Jan 2024
I do not feel that there are enough care workers. There are far too many calls put on a carer and in my opinion, given an impossible task to get round to everyone.
criticalmissed_or_late_visits12 Jan 2024
care workers were logged in to more than one person's home at the same time...people had their lunch visit between one and two hours after their morning visit.
criticalcare_planning12 Jan 2024
People's care plans and risk assessments included information of how staff were to support people safely. However, these had not been kept up to date.