Note6 Jul 2023
Effective partnership working with health professionals including GPs, district nurses and physiotherapists.
Note6 Jul 2023
Person-centred approach evidenced through feedback, staff meetings, supervision and training; strong duty of candour awareness.
Note6 Jul 2023
Audit systems identified shortfalls and drove improvements; registered managers kept up to date with legislation and good practice.
Note6 Jul 2023
Management restructure with additional registered manager and locality managers improved oversight across live-in and home care services.
Note6 Jul 2023
Robust recruitment procedures including DBS checks, references and right-to-work verification.
Note6 Jul 2023
Risk assessments balanced independence with safety and were reviewed as needs changed, with involvement of people and relatives.
Note6 Jul 2023
Medicines administration records fully completed and checked by a second staff member; people and relatives expressed high trust in medicines support.
Note6 Jul 2023
Effective safeguarding systems implemented following previous breach of regulation 13; management restructure enabled prompt response to abuse allegations.
Note10 Mar 2023
Provider completed staff surveys and developed well-being action plans to support staff during the pandemic.
Note10 Mar 2023
Service involved people, families and others effectively; most people could reach the management team when needed.
Note10 Mar 2023
People and relatives felt safe and happy with the way staff were working.
Note10 Mar 2023
Additional infection control procedures developed in response to COVID-19, with good supply of PPE and staff training.
Note10 Mar 2023
New recruitment systems developed to improve reliability of checks on people's identity and right to work in the UK.
moderateincident_learning10 Mar 2023
The registered manager was aware the response to replacing live-in carers when there was an allegation of abuse had not always been effective...a further allegation...resulted in a similar delay.
moderateleadership10 Mar 2023
Five of the nine staff we spoke with gave negative feedback about the management team and felt they were not given the support they needed to do their job effectively.
moderategovernance10 Mar 2023
Quality assurance systems had not always identified shortfalls in the service provided or breaches of regulations. Improvements identified as needed at the last inspection had not been made.
moderaterecord_keeping10 Mar 2023
Risk assessments had not always been kept up to date when people's needs changed...medicine administration records that were not included in their medicines risk assessments.
criticalsafeguarding10 Mar 2023
There were two examples where allegations of abuse had been made against live-in care staff, yet the member of staff had remained in the person's home for several days.
criticalmedication_management10 Mar 2023
All five of the medicines management records checked during the inspection contained shortfalls...increased the risk that errors would result in people receiving the wrong dose.