Note13 Apr 2023
The provider worked in partnership with health and social care professionals including local authority and healthcare services.
Note13 Apr 2023
The supported living accommodation had sufficient staffing including one-to-one support for activities.
Note13 Apr 2023
Staff received training in infection prevention control and were provided with appropriate PPE.
Note13 Apr 2023
Safe and effective recruitment procedures were followed with all relevant pre-employment checks completed.
Note13 Apr 2023
The service managed incidents well; lessons learned were shared at team meetings and used to improve care.
Note13 Apr 2023
Risk assessments were reviewed and remained up to date to meet people's needs and reduce risks.
Note13 Apr 2023
Staff supported people to make decisions and communicated with people in ways that met their needs.
Note13 Apr 2023
Staff understood how to protect people from poor care and abuse and knew how to recognise and report concerns.
moderatecommunication_with_families13 Apr 2023
Not all people or those acting on their behalf felt the service's communication arrangements were effective. One person told us, 'I would give them a 5/10.'
minorrecord_keeping13 Apr 2023
a daily catheter care record for one person was not in place.
moderaterecord_keeping13 Apr 2023
People's medicines records were not always collected regularly from people's homes and this meant the management team were not able to review them.
moderatemissed_or_late_visits13 Apr 2023
Our analysis identified 25% of people's care visits lasted less than half the agreed duration. There were 186 pairs of calls where staff had logged in at 2 locations simultaneously.
criticalgovernance13 Apr 2023
Call time audits did not identify the shortfalls we identified at this inspection. The current system was unable to identify the shortfalls identified at this inspection.
moderatemedication_management13 Apr 2023
gaps were identified on the MAR chart and staff were unable to clarify why there were gaps.
criticalmedication_management13 Apr 2023
A PRN medication had been administered frequently. This was not in line with the prescriber's instructions, placing the person at potential risk of harm.
criticalmedication_management13 Apr 2023
Medicines were not stored securely. Medicines were kept unlocked, in a kitchen cupboard.