Note11 Nov 2022
As-required medicine protocols were in place and staff competency to administer medicines was regularly checked.
Note11 Nov 2022
Staff felt valued and supported by a registered manager who promoted an open and inclusive culture.
Note11 Nov 2022
The registered manager and staff worked in partnership with other professionals to achieve good outcomes.
Note11 Nov 2022
Staff had completed safeguarding training and understood their responsibilities.
Note11 Nov 2022
The service was working within the principles of the Mental Capacity Act and appropriate DoLS authorisations were in place.
Note11 Nov 2022
Staff used PPE effectively and safely and had access to adequate stocks of PPE.
Note11 Nov 2022
Staff were recruited safely and there were sufficient staff to provide planned care and support.
Note11 Nov 2022
Staff knew people well and understood how to protect them from abuse; relatives had no concerns about safety.
minorsupervision_appraisal11 Nov 2022
Supervisions (individual meetings) haven't always happened due to covering care but we are getting back on track.
minorcommunication_with_families11 Nov 2022
A structured system was not in place to gather feedback from people and relatives about the service provided.
moderatemedication_management11 Nov 2022
Records were not available to evidence checks had not been carried out to provide assurance people's medicines were administered as prescribed and safely managed.
moderateincident_learning11 Nov 2022
Staff had not completed an accident/incident report form. This meant information had not been shared or reviewed by the management team.
moderaterecord_keeping11 Nov 2022
Information was not available to evidence risk assessments had been reviewed...The ACCESS risk assessment form does not have a review date.
criticalgovernance11 Nov 2022
Systems and process to audit, assess and monitor the quality and safety of the service were not in place.
criticalcare_planning11 Nov 2022
The plan contained conflicting information about when this medicine should be administered. This put the person at risk which was unsafe.