Note13 Jun 2023
Feedback from health and social care professionals was positive about the responsiveness and person-centred approach of the service.
Note13 Jun 2023
Nutritional and hydration needs were assessed and planned for; the service joined the Greater Manchester Nutrition and Hydration programme.
Note13 Jun 2023
The service worked in partnership with healthcare professionals and was responsive to people's healthcare needs.
Note13 Jun 2023
The registered manager liaised with the local authority safeguarding team where issues and concerns had been raised.
Note13 Jun 2023
Suitable infection control arrangements were in place; staff had access to PPE and training in infection control.
Note13 Jun 2023
People and relatives gave very positive feedback about care staff, with comments such as 'I can't praise them enough' and 'Couldn't ask for a better team.'
moderatesupervision_appraisal13 Jun 2023
Self assessments and observed competency assessments had been completed with some staff. Where additional learning had been identified there was no evidence this had been acted upon.
criticalcare_planning13 Jun 2023
Specific areas of concern, such as behaviours that challenge and self-harm had not been thoroughly assessed and planned to provide clear guidance for staff.
criticalconsent_capacity13 Jun 2023
Where people were said to lack capacity to make their own decisions, an MCA assessment had not been completed. Information was not sufficiently detailed where decisions had been made in their 'best in…
moderaterecord_keeping13 Jun 2023
Both electronic and paper records were inaccurate and incomplete.
criticalgovernance13 Jun 2023
The service did not have systems in place to monitor and review the service provided. The office environment was disorganised and did not provide an effective working environment.
criticalstaff_competency13 Jun 2023
Medication competency assessments were completed for staff as part of the induction programme. Records seen showed assessments of staff had been carried out with people who did not receive support wit…
moderatestaff_training13 Jun 2023
Training records showed a number of staff had completed multiple courses in 1 day. This did not demonstrate training was appropriately planned to promoted staff learning.
moderatestaffing_levels13 Jun 2023
Some staff were rostered to work an excessive number of hours with appropriate breaks.
criticalmedication_management13 Jun 2023
one person required topical cream applied twice daily, records showed this was applied 4 times each day. Records did not provide any direction for staff on where creams were to be applied.