Note11 Jan 2024
The registered manager took immediate remedial action in response to inspection findings.
Note11 Jan 2024
Feedback was regularly sought from people and relatives via questionnaires and telephone calls.
Note11 Jan 2024
Staff felt supported and listened to by the registered manager, who was described as approachable.
Note11 Jan 2024
The registered manager worked in partnership with key agencies including local authority, GPs and district nurses.
Note11 Jan 2024
There were enough suitably trained staff to meet people's care and support needs.
Note11 Jan 2024
Infection prevention and control policies were being adhered to with individual COVID-19 risk assessments in place.
Note11 Jan 2024
People felt safe with the care and support provided and staff received safeguarding training.
moderateother11 Jan 2024
New staff's full career history along with a written explanation of any gaps hadn't been explored by the registered manager.
moderateincident_learning11 Jan 2024
A falls risk assessment highlighted that a person had had two falls in one month...the registered manager had failed to record these two incidents.
minorstaff_training11 Jan 2024
There was a lack of oversight in relation to staff training. The initial training matrix received had not been updated to reflect training that had been completed.
moderatecare_planning11 Jan 2024
Known risks for people had not been robustly risk assessed...one person had bed rails attached to their hospital bed, and this required a more in-depth risk assessment.
moderatemedication_management11 Jan 2024
The code recorded on a medicine administration record (MAR) relating to medicine doses not being available was not consistently recorded by staff.
moderaterecord_keeping11 Jan 2024
There was a lack of personalisation in care records...spelling errors in both care and audit records and an element of copying and pasting within daily note records.
criticalgovernance11 Jan 2024
The provider had not operated an effective system to assess, monitor, and improve the quality and safety of the service provided. This is a breach of regulation 17.