Note29 Mar 2023
Care plans and risk assessments were being updated, and Oliver McGowan Mandatory Training on Learning Disability and Autism was being considered for staff.
Note29 Mar 2023
Provider was proactive and responsive to people's concerns, with one person noting significant improvement in the last three months.
Note29 Mar 2023
Improvements made to recruitment processes and a new manager appointed to support ongoing progress.
Note29 Mar 2023
Overall feedback from people and relatives was positive; no quality care concerns were reported.
Note29 Mar 2023
Provider engaged with relevant partner agencies and was committed to developing the service, with the level of risk reduced and Warning Notice requirements met.
minorincident_learning29 Mar 2023
Reporting and auditing systems had been introduced but it was too soon to assess their overall effectiveness.
moderateconsent_capacity29 Mar 2023
Work was ongoing to ensure the Mental Capacity Act was fully understood at all levels within the service and that records and practice supported shared decision making.
moderatecommunication_with_families29 Mar 2023
People and relatives shared that the handover process when the live in carers changed over was not always a smooth transition and communication was still mixed at times from the office.
moderaterecord_keeping29 Mar 2023
Auditing of staff files had begun, and gaps had been identified in some records. However, where actions were required, it was not always evident how this was effectively tracked and managed.
criticalcare_planning29 Mar 2023
At the time of our inspection not all care plans and risk assessments for people had been reviewed. This meant people were at risk because staff did not always have the guidance they needed.
criticalgovernance29 Mar 2023
Systems were not yet robust enough to demonstrate good governance. This was a continued breach of regulation 17 (Good governance) of the Health and Social Care Act 2008.
Note25 Jan 2023
People were supported to access healthcare appointments and timely referrals were made when needed.
Note25 Jan 2023
Staff were positive about management support and described the team as approachable and accessible.
Note25 Jan 2023
People and relatives reported good infection control practice, with staff wearing appropriate PPE.