Note31 Jan 2024
Staff spoke confidently about person-centred support and understood and responded to individual needs.
Note31 Jan 2024
The registered manager spoke passionately about continuous learning and improvement and was implementing a new call monitoring system with electronic recording.
Note31 Jan 2024
The provider demonstrated good partnership working, impressing at least one healthcare professional.
Note31 Jan 2024
Staff were trained in preventing and controlling infection and had access to PPE.
Note31 Jan 2024
The provider had effective safeguarding systems, policies, and procedures in place and collaborated well with the local authority.
Note31 Jan 2024
People told us they felt safe and well supported; one person said 'These guys they are like family to tell you the truth.'
moderatestaff_competency31 Jan 2024
Staff recruitment checks were not always carried out in full. We found gaps in employment history were not always explained prior to appointment.
minorcare_planning31 Jan 2024
Care records were not always written in a person-centred way. Some records used generic statements to describe people's goals and objectives.
moderateconsent_capacity31 Jan 2024
The service was not always working within the principles of the MCA. The registered manager had carried out some capacity assessments where relevant however, this was not the case for all people.
moderatestaff_training31 Jan 2024
We could not be assured the service had oversight of specialist training completion or renewal. Certificates of completion were not available for specific training such as PEG or catheter care.
moderatemissed_or_late_visits31 Jan 2024
There were concerns with staff arriving late. We were not assured people always received their care on time.
moderaterecord_keeping31 Jan 2024
Care plans and daily records lacked detail and legibility. Records for people with nutritional needs did not always include specific information required around fluid intake.
criticalgovernance31 Jan 2024
Quality assurance arrangements were not always applied consistently and were ineffective. The provider carried out audits of MARs and staff files however, we found these did not highlight concerns.
criticalmedication_management31 Jan 2024
MARs did not provide clear information about how to administer people's medication, including route or time of administration. Staff were not completing records in full.