Note12 Apr 2023
The service worked in partnership with local authorities, health teams, and a local training provider to support improvement.
Note12 Apr 2023
Notifiable incidents required to be reported to CQC were now being made, resolving a previous breach.
Note12 Apr 2023
The provider responded immediately during and after the inspection, organising training and reassessing people's health needs.
Note12 Apr 2023
The registered manager was accessible and responsive; people felt involved and informed.
Note12 Apr 2023
Staff knew how to recognise signs of abuse and how to report concerns internally and externally.
Note12 Apr 2023
People felt safe with the care provided and spoke positively about long-standing staff, describing them as like family.
Note12 Apr 2023
People received their medicines as prescribed and regular audits were carried out to ensure safe management of medicines.
minorcommunication_with_families12 Apr 2023
Changes within the staffing structure meant people and relatives found communication from the office was variable.
moderatesupervision_appraisal12 Apr 2023
Staff meetings did not discuss staff views, suggestions or ideas, or review accidents or incidents, complaints, or share feedback from quality audits.
minorinfection_control12 Apr 2023
People told us that staff did not always wear their masks when providing personal care to people which was their preference and they needed to remind staff.
moderaterecord_keeping12 Apr 2023
Care plans and risk assessments required further information to ensure these were complete...oversight and monitoring systems had not identified a lack of risk assessment or care plan.
moderateincident_learning12 Apr 2023
Analysis of themes, trends or patterns were not assessed. Staff were not always informed of the outcome from these incidents to enable them to reflect on their practise.
criticalgovernance12 Apr 2023
The lack of effective monitoring and oversight of the service was a breach of Regulation 17 of the Health and Social Care Act (Regulated Activities) Regulations 2014.
moderatemissed_or_late_visits12 Apr 2023
Call records confirmed that staff could be in excess of an hour late and arrived earlier than the agreed times.
moderatecare_planning12 Apr 2023
People did not always have completed risk assessments following a review of people's care needs. For example, where people were at risk of skin breakdown or had experienced a seizure.