Note7 Oct 2023
Partnership working with external organisations including local authority, District Nurses, SALT and GPs.
Note7 Oct 2023
Strong infection control practices with adequate PPE supply confirmed by staff and people.
Note7 Oct 2023
Quality assurance processes including care plan audits, accident/incident trend analysis, and quarterly reporting.
Note7 Oct 2023
Positive staff and service user feedback about approachable, supportive management.
Note7 Oct 2023
Electronic call monitoring system enabling real-time oversight of all visits.
Note7 Oct 2023
Effective safeguarding policies; staff able to identify abuse types and knew reporting pathways.
Note7 Oct 2023
Formal lessons-learned process in place with evidence of changes implemented and shared with staff.
Note7 Oct 2023
Robust medicines management system with weekly, fortnightly and monthly audits carried out by dedicated medication officers.
minormissed_or_late_visits7 Oct 2023
I have a window of time and the care workers do not always arrive between those times. On occasion it has been as late as 11.30.
minorrecord_keeping7 Oct 2023
We found on 1 person's recruitment file a full employment history had not been obtained. The HR manager took immediate action and contacted the staff member.
Note12 Apr 2023
The provider worked in partnership with health and social care professionals including the local authority
Note12 Apr 2023
People's equality and diversity characteristics had been considered and integrated into their care plans
Note12 Apr 2023
Positive staff culture; staff felt supported by management and enjoyed their work
Note12 Apr 2023
Infection prevention and control training was provided and adequate PPE was available to staff
Note12 Apr 2023
Staff administering medication had received medication training and competency assessments were completed
Note12 Apr 2023
Risk assessments were completed, reviewed and kept up to date to meet people's needs
Note12 Apr 2023
Staff had received safeguarding training and knew how to raise concerns; no open safeguarding incidents at time of inspection
moderatecommunication_with_families12 Apr 2023
'I have never met her or spoken to [manager]. I have spoken to [office staff] but they get very defensive'
minorincident_learning12 Apr 2023
lessons learnt contained limited information and lacked detail. Actions taken did not include any dates and details of who needed to complete the actions.
criticalgovernance12 Apr 2023
effective systems to monitor and improve the quality of the service were not in place. This was a breach of regulation 17
moderatemissed_or_late_visits12 Apr 2023
56% of calls were less than half the planned duration. There were 608 pairs of calls where staff had logged in at 2 locations simultaneously
moderatemissed_or_late_visits12 Apr 2023
'Timing is erratic. They should be here at 9:am and it has been as late as midday'
criticalmedication_management12 Apr 2023
A mediation audit was completed however, this was not robust or completed regularly which meant the registered manager did not have clear oversight
criticalmedication_management12 Apr 2023
gaps identified on the MAR chart. The registered manager was unable to clarify why there were gaps.