Note25 Feb 2022
People and relatives were asked for feedback and felt able to raise concerns
Note25 Feb 2022
Provider sought support from other health professionals including GPs and district nurses
Note25 Feb 2022
Electronic call monitoring system checked daily to ensure calls completed on time
Note25 Feb 2022
Care plans and risk assessments contained enough guidance for staff
Note25 Feb 2022
Adequate PPE provision and infection control in line with COVID-19 guidance
Note25 Feb 2022
Safe recruitment practices including DBS checks and references
Note25 Feb 2022
Staff knew how to recognise signs of abuse and how to report issues
Note25 Feb 2022
People reported feeling safe with staff supporting them
minorstaffing_levels25 Feb 2022
we are struggling to get staff and due to some of our clients living in rural areas it makes it difficult to recruit.
minorcare_planning25 Feb 2022
Some care plans had not been reviewed or audited since they were implemented
moderateincident_learning25 Feb 2022
consistent analysis wasn't being undertaken to learn from these when things had gone wrong.
moderatesafeguarding25 Feb 2022
Safeguarding incidents had been reported to the local safeguarding team; however, these had not always been sent to the CQC in a timely way as required.
moderateleadership25 Feb 2022
The registered manager did not have consistent oversight of the service.
criticalgovernance25 Feb 2022
The systems in place were not embedded into the service, with many audits either not being completed or documented fully. People's daily records were not being checked.
criticalgovernance25 Feb 2022
Poor oversight meant risks to people's care and support were not always sufficiently monitored and placed people at the potential risk of harm
moderaterecord_keeping25 Feb 2022
Multiple gaps in recording on MARs were observed... correct codes were not being used to explain why medications had not been administered.
criticalmedication_management25 Feb 2022
MARs had not been audited by the provider for over 6 months. This meant the provider did not have oversight of people's medication
criticalmedication_management25 Feb 2022
Medicine administration records (MAR) did not state the full medication name or dosage and had not been signed at the beginning of the medication cycle to confirm stock levels received.