Note11 Oct 2023
MCA principles followed with appropriate consent and legal authorisations in place
Note11 Oct 2023
Effective multi-disciplinary working with GPs, district nurses, and therapists
Note11 Oct 2023
People and relatives involved in care reviews and service feedback
Note11 Oct 2023
Registered manager understood duty of candour and promoted openness
Note11 Oct 2023
Positive, person-centred culture with staff showing passionate approach to care
Note11 Oct 2023
Effective infection prevention systems in place with continuous PPE supply
Note11 Oct 2023
Medicines safely managed with administration records, care plan information, and competency checks
Note11 Oct 2023
People supported by enough consistently deployed, safely recruited staff
Note11 Oct 2023
Safeguarding improvements made; provider no longer in breach of Regulation 13
moderateperson_centred_care11 Oct 2023
registered manager had put in place a diabetes care plan for 1 person; however, it did not contain enough information to inform staff of how to meet their specific needs.
criticalcare_planning11 Oct 2023
no risk assessment in place for the use of this moving and handling equipment... no catheter care risk assessments, allergies risk assessments or moving and handling equipment risk assessments.
moderaterecord_keeping11 Oct 2023
audit was in place for the reviewing of people's daily records, however there was no document to demonstrate the completion of the audit.
criticalgovernance11 Oct 2023
auditing systems in place were not robust enough to ensure all records contained the updated documents.
criticalcare_planning11 Oct 2023
risk assessments were still not in place for all identified risks. There was no specific information on how to monitor the risks associated with catheter care.