Note10 Aug 2023
The provider notified CQC of incidents as required.
Note10 Aug 2023
The provider demonstrated duty of candour by investigating concerns and informing the local authority.
Note10 Aug 2023
Infection control practices were improved following concerns, including PPE use, COVID-19 testing systems, and office hygiene measures.
Note10 Aug 2023
Staff reported having sufficient time to provide care safely and felt supported by management.
Note10 Aug 2023
People received support from a consistent team of staff who mostly arrived on time.
Note10 Aug 2023
Staff had been recruited safely, including DBS checks and references from previous employers.
Note10 Aug 2023
Staff understood their responsibilities to report concerns of abuse and safeguarding.
moderateperson_centred_care10 Aug 2023
They don't have a problem with apologising but they don't seem to learn from their mistakes... this was not acted upon.
criticalrecord_keeping10 Aug 2023
Medicine records failed to include all of the necessary information to ensure staff supported people with medicines in a safe way.
moderateincident_learning10 Aug 2023
The information lacked relevant detail and did not evidence that the provider reviewed incidents to identify any trends or patterns to reduce the risk in future.
criticalgovernance10 Aug 2023
The provider's quality assurance systems were ineffective in identifying areas for improvement... audits were completed, these were not used as a tool to continuously learn and improve care.
criticalsafeguarding10 Aug 2023
The provider had not identified possible concerns around neglect... deterioration had not been identified by the provider and so no action could be taken to safeguard the person.
criticalcare_planning10 Aug 2023
Although the provider had identified risks in relation to pressure areas and continence care, there lacked any guidance for staff on how to support people with their risks.
criticalmedication_management10 Aug 2023
MAR did not record the name of medicines to be given, the dosage needed or route of administration. People's allergies had also not been recorded on MARs.