Note3 Nov 2023
People supported to maintain independence and make their own decisions, with MCA principles applied in practice.
Note3 Nov 2023
Care plans were person-centred and regularly reviewed when needs changed.
Note3 Nov 2023
Positive staff culture with staff feeling well supported, with access to counselling and regular communications via newsletters.
Note3 Nov 2023
Strong partnership working with health and social care professionals, with positive feedback from professionals.
Note3 Nov 2023
Lessons learned from incidents shared across the team to improve practice.
Note3 Nov 2023
Good infection prevention and control practices observed and confirmed by people and families.
Note3 Nov 2023
Medicines administered safely by trained staff with regular audits and unannounced competency spot checks.
Note3 Nov 2023
Safe recruitment procedures followed including DBS checks.
Note3 Nov 2023
Effective safeguarding systems in place with staff and management demonstrating clear knowledge of reporting responsibilities.
Note3 Nov 2023
People and family members were consistently positive about the kindness, reliability and skill of staff.
minormedication_management3 Nov 2023
The MAR for the use of creams was not being used but information was recorded in the daily notes.
minorperson_centred_care3 Nov 2023
People's protected characteristics under the Equalities Act 2010, such as gender, religion, sexual orientation, and ethnicity were not always identified as part of a person's assessment.
moderategovernance3 Nov 2023
The audits of medicine records, care plans, daily notes and staff training were a mixture of paper based and electronic. This made it difficult to have an overview of all aspects of the service.
minorsupervision_appraisal3 Nov 2023
formal recorded 1/1 supervision with staff was not always completed on a regular basis.
moderaterecord_keeping3 Nov 2023
recording and information systems were not always organised in a way to ensure the effective oversight of the service.