Note30 Dec 2022
The registered managers were responsive to concerns raised during the inspection and provided a service improvement plan.
Note30 Dec 2022
Management were visible, approachable, and led by example promoting equality and diversity.
Note30 Dec 2022
The registered managers were aware of STOMP and supported regular medicines reviews, with examples of reduced doses.
Note30 Dec 2022
Effective infection prevention and control measures were in place with appropriate PPE and training.
Note30 Dec 2022
The service promoted equality and diversity and provided culturally appropriate care.
Note30 Dec 2022
People were supported by a consistent staff team familiar to them, helping to reduce anxiety.
Note30 Dec 2022
The service worked in partnership with health and social care professionals including speech and language therapists, GPs, psychiatrists and district nurses.
Note30 Dec 2022
The service worked within the principles of the Mental Capacity Act 2005, promoting people's choices and least restrictive practices.
Note30 Dec 2022
Staff received regular supervisions and appraisals and felt supported by management.
Note30 Dec 2022
Staff received a comprehensive induction including mandatory training, the Care Certificate, and regular training in learning disability and autism.
Note30 Dec 2022
People with complex needs had comprehensive support plans analysing behaviour and providing positive behaviour support.
Note30 Dec 2022
Staff understood how to protect people from poor care and abuse, were trained in safeguarding and knew how to identify and report abuse.
moderaterecord_keeping30 Dec 2022
Four staff members had unreliable references. The service failed to demonstrate the sources of these references...original emails from referees...had been deleted due to administrative issues.
moderatesupervision_appraisal30 Dec 2022
there was no formal supervision taking place for the managers and supervisors to ensure they clearly understood their responsibilities.
criticalgovernance30 Dec 2022
Management audits and spot checks...did not identify the issues we found with the management of medicines, assessing people's risks and staff recruitment.
criticalstaffing_levels30 Dec 2022
Four staff members had started their employment without appropriate DBS checks. Their DBS checks were performed several months after their start date.
criticalmedication_management30 Dec 2022
several cases where the actual number of remaining tablets did not correspond with what staff had recorded, and instances where the number of remaining tablets had been pre-recorded
criticalmedication_management30 Dec 2022
Where people received 'when required' (PRN) medicines there were no protocols to explain to staff when to administer these medicines.
criticalcare_planning30 Dec 2022
two people who had diabetes did not have plan in place to ensure their condition was safely managed. Risks associated with people's finances, medicines, eating and drinking...were not always thoroughl…