Note30 Dec 2022
There were enough staff to provide planned care calls and people were happy with call times and punctuality.
Note30 Dec 2022
Staff knew how to communicate effectively, including with people whose first language is not English.
Note30 Dec 2022
The provider introduced regular courtesy calls to people and relatives to gather feedback.
Note30 Dec 2022
Staff received safeguarding training and understood their responsibilities to report concerns.
Note30 Dec 2022
Staff were recruited safely with references and DBS checks completed.
Note30 Dec 2022
People received personalised care with choices and preferences respected, including gender preference for carers.
Note30 Dec 2022
Complaints were managed in line with provider policy with improved responsiveness since the last inspection.
Note30 Dec 2022
People received their medicine as prescribed and staff completed training and competency assessments to administer medicines safely.
moderatecare_planning30 Dec 2022
Risk assessments were not being reviewed regularly. A medication risk assessment had not been reviewed for over 25 months.
moderateincident_learning30 Dec 2022
The management team had completed audits and looked at incidents, however there was no evidence that learning, or themes were taken from this to improve the quality of care provided.
moderatemedication_management30 Dec 2022
Some care records did not clearly record when non-prescribed topical creams had been applied or contained guidance for staff to ensure they knew when and how often to apply the creams.
criticalcare_planning30 Dec 2022
Checks of care records had failed to identify staff were not always measuring and recording urine output as instructed within people's catheter risk assessments.
criticalrecord_keeping30 Dec 2022
A person's allergy was still not documented on their medication risk assessment despite this being raised at our last inspection.
criticalgovernance30 Dec 2022
The provider remained in breach of regulation 17. The provider had failed to fully meet the warning notice we issued at the last inspection.