Note5 Sept 2023
Staff spoke positively about management and felt able to raise concerns.
Note5 Sept 2023
The service operated within the principles of the Mental Capacity Act and staff received related training.
Note5 Sept 2023
Management took immediate action during inspection to address identified concerns, including adding actions to the improvement plan.
Note5 Sept 2023
The service worked positively in partnership with health and social care professionals.
Note5 Sept 2023
A new accident and incident form was created with more in-depth details including a management review section.
Note5 Sept 2023
Staff had access to sufficient PPE stock and used it correctly.
Note5 Sept 2023
People and relatives reported feeling safe and well cared for by the service.
Note5 Sept 2023
Staff had been trained in safeguarding and knew how to report concerns in line with policies and procedures.
Note5 Sept 2023
Staff understood their responsibility to report concerns and poor practices, and knew how to report incidents or accidents.
moderatesupervision_appraisal5 Sept 2023
further development was required to ensure there was a system in place which provided a clear overview of staff's mandatory training
minorcommunication_with_families5 Sept 2023
mixed feedback from people and their relatives in relation to the communication with the office, such as not knowing who the manager was, who to contact and not always being contacted back.
moderategovernance5 Sept 2023
there was no system in place for documenting and auditing the findings in relation to care calls; including punctuality, cancelations and calls outside planned times.
criticalgovernance5 Sept 2023
The systems implemented by the provider to help monitor the service had not always been effective in identifying and addressing quality and safety shortfalls in the service.
criticalstaff_competency5 Sept 2023
recruitment records did not always show that the recruiting managers had explored the previous employment histories of staff and their suitability to work at in the service.
moderaterecord_keeping5 Sept 2023
Environmental risk assessments of people's home were not consistently available on the electronic system or lacked detail.
moderatemedication_management5 Sept 2023
information was not always recorded to guide staff in relation to the area this had been applied to so they can ensure correct rotation of the patch.
criticalmedication_management5 Sept 2023
Systems were not in place to guide staff in safely administering 'as required' medicines...This put people at risk of not receiving their "as required" medicines safely.
criticalcare_planning5 Sept 2023
the support requirements for one person with epilepsy had not been identified and recorded. Therefore, staff may not fully understand how to support the person safely