Note21 Dec 2023
Open, honest and transparent culture with clear strategic vision from registered manager and directors
Note21 Dec 2023
Partnership working with commissioners, GPs, district nurses, opticians and other professionals
Note21 Dec 2023
Overwhelmingly positive feedback from people and families; described care as 'impeccable and exemplary'
Note21 Dec 2023
Strong quality assurance systems including spot checks, surveys, and digital care plan migration
Note21 Dec 2023
Accidents and incidents reviewed to identify trends and share learning with staff
Note21 Dec 2023
Effective infection prevention and control measures including PPE provision and updated COVID-19 action plan
Note21 Dec 2023
Medicines administration training and regular competency checks ensured safe medication support
Note21 Dec 2023
Staff completed safeguarding training and demonstrated awareness of abuse types and appropriate reporting procedures
Note21 Dec 2023
Robust recruitment processes including DBS checks and professional references, with new care packages only accepted when sufficient staffing capacity exists
Note29 Jan 2020
People were supported by sufficient numbers of staff.
Note29 Jan 2020
People and their relatives were happy with how they were supported with medicines.
Note29 Jan 2020
Regular staff meetings and individual supervision were in place, and staff felt supported by the manager.
Note29 Jan 2020
Staff received training in safeguarding and were able to explain how to identify and report concerns.
Note29 Jan 2020
People's consent was sought prior to care being delivered and staff were clear about obtaining consent.
Note29 Jan 2020
Staff were caring, kind and respected people's dignity and privacy.
Note29 Jan 2020
People told us they felt safe with the care they received and were positive about the management and ethos of the service.
minorcommunication_with_families29 Jan 2020
One relative said they felt they needed to check when there was a change in medicines as care staff did not always hand over information about medicines.
minorperson_centred_care29 Jan 2020
Another care plan read that the person was able to prepare and cook their own food which was not the case as food was prepared for them.
moderatestaff_competency29 Jan 2020
A number of staff had not received the [DBS] clearance until a couple of months after they began working.
criticalsafeguarding29 Jan 2020
We saw there was no risk assessment or plan to mitigate any risk in place which is required when a person's DBS had disclosures.
moderatesupervision_appraisal29 Jan 2020
There was no formal supervision in place for live in carers who, although self-employed, were managed by the agency as were the care packages they were employed for.
moderatecare_planning29 Jan 2020
Care plans did not always give staff clear guidance on how to deliver care or support… where people had some form of dementia there was no information to guide staff
moderatestaff_training29 Jan 2020
There was no system to record and monitor staff training which meant some staff training was out of date or had not taken place.
moderaterecord_keeping29 Jan 2020
There was no system to maintain an audit trail of all key staff recruitment documents which ensured that people had been recruited robustly and were fit to work in the care sector.
criticalgovernance29 Jan 2020
There were not adequate systems to monitor and improve the quality of the services provided. This was a breach of Regulation 17 of the Health and Social Care Act (Regulated Activities) 2014
Note29 Jan 2020
Complaints and late visits recorded and monitored with lessons learnt
Note29 Jan 2020
Positive, open and inclusive culture with monthly staff meetings and employee of the month award
Note29 Jan 2020
Quality assurance officer employed since last inspection; unannounced spot checks and medicine audits in place
Note29 Jan 2020
Continuity of care improved with named staff and backup arrangements communicated to people
Note29 Jan 2020
People were treated with dignity and respect and involved in planning and reviewing their care