Note29 Jan 2020
End of life care plans prepared in advance and staff trained, ready for immediate implementation if needed.
Note29 Jan 2020
Strong multi-agency working with occupational therapists, district nurses, mental health teams and advocacy services.
Note29 Jan 2020
Policies and procedures reviewed in 2016 and kept up to date, accessible to all staff.
Note29 Jan 2020
Clear complaints policy provided to people on commencement of the service.
Note29 Jan 2020
Active quality assurance including audits, spot checks, satisfaction surveys and community monitoring visits.
Note29 Jan 2020
People and relatives consistently rated the service as very good or excellent, with high satisfaction scores.
Note29 Jan 2020
Regular staff training covering a wide range of subjects including dementia, skin care and end of life care.
Note29 Jan 2020
Robust recruitment practices including DBS checks and two written references for all staff.
Note29 Jan 2020
Staff demonstrated strong knowledge of the people they supported and their individual care needs.
Note29 Jan 2020
People confirmed staff arrived on time and stayed for the full allocated visit duration with no missed visits reported.
minorcare_planning29 Jan 2020
The service did not have a system in place to check that daily log sheets recorded the care that was being delivered was what had been agreed in the care plan.
minorrecord_keeping29 Jan 2020
Two of the records showed that staff had applied creams that had not been prescribed or in the care plans for administration.
Note17 Jan 2019
Registered manager engaged with CQC newsletters to develop best practice and submitted statutory notifications appropriately.
Note17 Jan 2019
Service met Accessible Information Standards, assessing and recording people's communication needs.
Note17 Jan 2019
Consent sought in line with Mental Capacity Act 2005; staff knowledgeable about MCA principles.
Note17 Jan 2019
Effective partnership working with health and social care professionals to meet people's healthcare needs.
Note17 Jan 2019
Robust audit systems in place covering staff files, care plans, medicine records and direct observations, with actions followed up.
Note17 Jan 2019
Staff received regular supervisions, annual appraisals, induction, and ongoing training relevant to their roles.
Note17 Jan 2019
Medicines managed safely with staff training, regular observations, and accurate administration records.
Note17 Jan 2019
Sufficient staffing levels with allocated travel time; people reported staff usually arrived on time and stayed for contracted duration.
Note17 Jan 2019
People told us staff were kind and caring and treated them with respect, with thank you cards received praising staff compassion and going above and beyond.
minorstaff_competency17 Jan 2019
Staff were observed in practice regularly...This was not specifically referred to within the tool used to record the observations and the registered manager agreed to update the tool used.
minorperson_centred_care17 Jan 2019
We found however, that information regarding people's preferences was limited. We discussed this with the registered manager who told us they were aware of this.
minorrecord_keeping17 Jan 2019
Records did not always accurately reflect dates people were recruited to ensure all checks were made prior to this date.