Note21 Mar 2024
People and relatives spoke positively about care staff being kind and treating them with respect.
Note21 Mar 2024
The service worked with a local hospice to provide end of life care and referred people to external professionals such as Speech and Language and Occupational Therapy.
Note21 Mar 2024
Infection prevention and control practices were assured, including effective use of PPE.
Note21 Mar 2024
The service was working within the principles of the MCA with appropriate legal authorisations in place.
Note21 Mar 2024
Staff were described as approachable; a care manager was praised by people and staff for responsiveness.
Note21 Mar 2024
Care plans were detailed and included information about how to support people well and included risk assessments.
moderateperson_centred_care21 Mar 2024
People told us they had not been asked for their views or feedback... 'I've never actually seen a care plan. I assume there must be one somewhere.'
moderatecommunication_with_families21 Mar 2024
People and relatives stated they were not informed when people were running late... A person told us, 'There is no knowledge of timings or a rota. They refuse to tell you who is coming.'
criticalleadership21 Mar 2024
The nominated individual did not demonstrate an understanding of the duty of candour. Concerns identified during the inspection were dismissed, with a culture of blaming former employees.
moderatemissed_or_late_visits21 Mar 2024
On the weekend they come very late. One time it was 1 o'clock, another time it was 11 o'clock to help me wash and dress. When my family came at the weekend I was still in my nightdress.
moderaterecord_keeping21 Mar 2024
Staff told us they didn't always have access to the information, or the information available via their mobile devices was limited. 'The care plans need updating.'
criticalgovernance21 Mar 2024
The nominated individual had not maintained oversight of the service and was unaware of the concerns we raised during the inspection.
criticalsafeguarding21 Mar 2024
Not all staff had received adequate training in safeguarding, including how to spot the signs of potential abuse. A staff member told us, 'I can't remember if I did safeguarding training.'
criticalstaff_competency21 Mar 2024
The provider told us all staff had been competency assessed as safe to administer medicines. However, when speaking with staff, many confirmed they had not been assessed for medicines, or spot checks.
criticalmedication_management21 Mar 2024
Staff supporting people with their medicines without adequate training placed people at risk of harm... staff told us they had been working and administering medicines without being trained.
criticalstaff_training21 Mar 2024
Not all staff had received adequate training in moving and handling, safeguarding, or medication administration, this placed people at risk of harm from improper or unsafe practices.
Note21 Mar 2024
Nominated individual demonstrated openness and transparency, taking immediate action on inspection feedback.
Note21 Mar 2024
Service worked in partnership with local hospice and local authority quality team to improve outcomes.
Note21 Mar 2024
Staff provided with PPE and demonstrated effective infection prevention and control practice.
Note21 Mar 2024
Safe recruitment checks carried out including DBS checks and employment history verification.
Note21 Mar 2024
Provider had over-recruited to ensure sufficient and consistent staffing, including evenings, weekends and bank holidays.