Note19 Oct 2023
Provider understood duty of candour legislation and acted openly when things went wrong.
Note19 Oct 2023
Whole team attended Positive Behaviour Training following incidents.
Note19 Oct 2023
Positive culture with staff feeling supported under new interim management.
Note19 Oct 2023
Service worked closely with multidisciplinary professionals and made appropriate referrals.
Note19 Oct 2023
Infection control systems, PPE usage and hand hygiene practices were in place.
Note19 Oct 2023
Medicines managed safely with relevant staff training and competency spot checks.
Note19 Oct 2023
Staff received safeguarding training and knew how to recognise and report abuse.
Note19 Oct 2023
Safe recruitment processes in place including DBS checks and employer references.
Note19 Oct 2023
People and relatives reported feeling safe and expressed high satisfaction with the support received.
minorperson_centred_care19 Oct 2023
The service held regular meetings with people to ask them their views on their support. However, these were not always recorded formally.
moderateleadership19 Oct 2023
At the time of our inspection there was not a registered manager in post.
moderateincident_learning19 Oct 2023
There had been some under reporting of accident and incidents at the service.
moderategovernance19 Oct 2023
agency staff did not have access to this information. Agency staff only had access to people's paper care plans however the quality of the information available for agency staff varied.
moderatestaff_training19 Oct 2023
agency staff did not have the necessary training to support the people using the service.
moderaterecord_keeping19 Oct 2023
audits had not always identified missing information within care plans despite being reviewed recently.
criticalcare_planning19 Oct 2023
1 person had no risk assessment in place for staff to follow relating to their epilepsy and diabetes.