Note30 Oct 2021
An effective complaints procedure was in place with complaints logged, acknowledged, investigated and followed up appropriately.
Note30 Oct 2021
People spoke highly of staff, describing them as patient, warm, compassionate and respectful of privacy, dignity and independence.
Note30 Oct 2021
Infection control policies were in place and staff had access to adequate PPE in appropriate sizes.
Note30 Oct 2021
A range of quality audit systems were in place including monthly surveys to 20% of people using the service and 20% of staff.
Note30 Oct 2021
Regular training was in place covering safeguarding, moving and handling, medication, infection control and food hygiene.
Note30 Oct 2021
Staff demonstrated good understanding of the Mental Capacity Act 2005 and consent principles.
Note30 Oct 2021
Effective recruitment policies ensured pre-employment checks including DBS clearances, references and identification were completed before staff started work.
Note30 Oct 2021
Staff were confident in identifying and reporting safeguarding concerns, with clear escalation pathways inside and outside the organisation.
minorconsent_capacity30 Oct 2021
one person who had a diagnosis of Parkinson's did not have a capacity assessment in place.
minorsupervision_appraisal30 Oct 2021
Some staff did tell us that whilst they did feel supported they had not had a formal face to face supervision for some time.
moderaterecord_keeping30 Oct 2021
We found a number of risk assessments that were in place had not been reviewed in line with the services own deadlines for doing so which meant the information could potentially be out of date.
criticalcare_planning30 Oct 2021
We found people's care and support plans to be lacking in detail, with some of the information being task orientated and not personalised to the individual.
criticalmedication_management30 Oct 2021
a number of people who were assisted with taking their medicines, some on an ad hoc basis, had no risk assessments in place within their care plan
Note30 Oct 2021
Clear organisational vision and values communicated to staff; positive working culture reported by majority of staff
Note30 Oct 2021
Service listened to staff feedback and adapted induction programme to include earlier practical shadowing experience
Note30 Oct 2021
Effective recruitment practices with DBS checks, references and no unexplained employment gaps
Note30 Oct 2021
Wide range of audits and quality monitoring including monthly returns, seven-day and six-week care reviews
Note30 Oct 2021
Strong complaints procedure with complaints logged, acknowledged and investigated; people confident issues would be addressed
Note30 Oct 2021
Staff received effective induction, regular monthly supervision, annual appraisals and up-to-date training
Note30 Oct 2021
Improved person-centred care plans with one-page profiles and detailed individual guidance, addressing previous breach
Note30 Oct 2021
Robust medicines management processes in place including storage, ordering, administration and recording, addressing previous breach
Note30 Oct 2021
People consistently reported feeling safe and praised staff as kind, caring and professional
Note27 Nov 2020
Duty of candour understood and practised; all relevant CQC notifications made in a timely way.
Note27 Nov 2020
Partnership working maintained with local authorities, health staff, and internal organisation teams.
Note27 Nov 2020
Registered manager actively engaged with people, relatives, and staff, conducting monthly visits and regular staff meetings.
Note27 Nov 2020
Strong governance and auditing framework with regular care record audits, spot checks, and incident learning shared at management meetings.
Note27 Nov 2020
Effective infection prevention and control measures in place throughout the COVID-19 pandemic, including consistent PPE use.
Note27 Nov 2020
Robust recruitment procedures with all pre-employment checks completed prior to staff starting work.
Note27 Nov 2020
Medicines were managed safely; errors were investigated, staff training addressed, and no repeat errors occurred by individual staff.
Note27 Nov 2020
People felt safe and staff were knowledgeable about safeguarding, with clear policies and thorough investigation of incidents.