Note5 Dec 2023
Care plans contained information about people's communication needs in line with the Accessible Information Standard.
Note5 Dec 2023
The provider operated an open and transparent culture in line with duty of candour responsibilities.
Note5 Dec 2023
The staff team worked well with health and social care professionals including district nurses, mental health workers and occupational therapists.
Note5 Dec 2023
The provider was committed to quality care, responded immediately to inspection findings and began implementing improvements straight away.
Note5 Dec 2023
Staff used PPE appropriately during personal care and were trained in infection control.
Note5 Dec 2023
Complaints were taken seriously with a complaints procedure in place; issues were resolved promptly.
Note5 Dec 2023
People received personalised care responsive to their needs; staff knew people's care needs and how to meet them.
Note5 Dec 2023
Known risks such as falls, moving and handling and skin damage were assessed and reviewed.
Note5 Dec 2023
People felt safe with staff and confirmed staff did not miss any care visits; staff were reliable and stayed to complete all required tasks.
minorincident_learning5 Dec 2023
The provider planned to introduce monthly analyses of accidents, incidents, falls and behaviour indicating distress to assist with spotting trends and themes.
moderatesupervision_appraisal5 Dec 2023
The system to support staff and their development was still being developed. These processes needed time to be embedded and sustained in practice for staff.
moderaterecord_keeping5 Dec 2023
Recruitment checks required strengthening to ensure the reasons for any gaps or anomalies were risk assessed. There were delays with 1 staff member receiving their criminal record check, but there was…
criticalsafeguarding5 Dec 2023
Notifications to external agencies including the local authority and CQC about serious incidents or safeguarding concerns were not always made in a timely manner.
criticalgovernance5 Dec 2023
Quality assurance systems were not always effective at supporting staff to identify and take action about areas which needed improvement.
criticalcare_planning5 Dec 2023
When people showed behaviour which indicated distress or agitation there was limited information about triggers, signs and what action staff should take to de-escalate.
criticalmedication_management5 Dec 2023
Medicines were sometimes given at the wrong time. Checks did not identify this which meant the provider could not take action to investigate and rectify.
criticalmedication_management5 Dec 2023
Medicines which were given as needed did not have guidance and key information available to support staff administer these safely. Reasons for administering were not always recorded.