Note1 Feb 2024
Statutory notifications submitted to CQC as required; duty of candour responsibilities understood.
Note1 Feb 2024
Good communication with families and health professionals, including GP information sharing.
Note1 Feb 2024
Registered manager open, transparent, and responsive; demonstrated learning from previous inspection findings.
Note1 Feb 2024
Regular supervision and appraisal of staff; registered manager conducted spot checks on performance.
Note1 Feb 2024
Staff received safeguarding, MCA, equality and diversity training with regular refreshers.
Note1 Feb 2024
Person-centred care with regular care plan reviews involving people and relatives.
Note1 Feb 2024
Robust infection prevention and control procedures with adequate PPE always available to staff.
Note1 Feb 2024
Medicines managed safely with trained staff, competency checks, MARs completion, and monthly medicines audits.
Note1 Feb 2024
Care calls consistently provided at arranged times with proactive communication when timings were expected to change.
Note1 Feb 2024
Registered manager had full oversight with monthly audits, quality assurance, and safe staff recruitment practices.
minormedication_management1 Feb 2024
Some additional information was needed to record why and what effect the medicine had. The registered manager amended the protocols during the inspection.
minorconsent_capacity1 Feb 2024
some assessments did require more detail. The registered manager reviewed these assessments during the inspection to show fully how people's capacity had been determined.
Note30 Oct 2021
Infection control practices were followed including use of PPE and hand washing.
Note30 Oct 2021
Staff felt well supported by the registered manager and communication within the team was good.
Note30 Oct 2021
Registered manager was responsive to inspection findings and provided remedial evidence post-visit.
Note30 Oct 2021
Service worked in partnership with other agencies and followed professional guidance.
Note30 Oct 2021
Staff demonstrated understanding of Mental Capacity Act and sought consent before providing care.
Note30 Oct 2021
Relative reported staff were kind, friendly, caring and respected dignity and cultural needs.
Note30 Oct 2021
Staff recruitment checks including DBS were in place to protect people from unsuitable staff.
minorcomplaints_handling30 Oct 2021
The provider's complaints procedure...did not contain contact details about the complaints authority or details of the local government ombudsman.
minorstaff_training30 Oct 2021
Staff had not received training in a number of people's specific long-term health conditions such as stroke and end-of-life care.
moderategovernance30 Oct 2021
There were no audits undertaken on important quality issues such staff training.