Note29 Jan 2020
People were matched with suitably trained staff and changes to staffing or hours were usually facilitated quickly.
Note29 Jan 2020
End of life care was supported with trained staff providing emotional support to people and families.
Note29 Jan 2020
Mobile technology was being used to reduce missed or late calls and improve quality monitoring.
Note29 Jan 2020
The registered manager was visible, approachable, and trusted by staff, people using the service, and their relatives.
Note29 Jan 2020
Care plans were person-centred, written in plain English, reviewed monthly, and incorporated external professional advice promptly.
Note29 Jan 2020
Staff were well trained with a common induction process, regular observations, and refresher training tracking.
Note29 Jan 2020
Medicines were managed well with trained staff, competency checks, and regular audits by the registered manager.
Note29 Jan 2020
People felt safe and staff demonstrated good safeguarding knowledge, including awareness of whistleblowing procedures and types of abuse.
minorsupervision_appraisal29 Jan 2020
Records kept of these contacts were minimal and did not show that a comprehensive supervision was taking place.
Note21 May 2019
Staff produced communication cards for a care home to support a person's transition, demonstrating excellent partnership working.
Note21 May 2019
Innovative ideas for service development, including pet therapy dog visits.
Note21 May 2019
Duty of Candour met with open and honest culture promoted by management.
Note21 May 2019
No missed visits reported; provider maintained continuity of staff where possible.
Note21 May 2019
Medicines were generally managed well with processes to learn from errors and staff re-trained or competency assessed following incidents.
Note21 May 2019
People's communication needs were identified, recorded and met in line with the Accessible Information Standard.
Note21 May 2019
Proactive partnership working with healthcare professionals including district nurses, occupational therapists and social workers.
Note21 May 2019
Staff responded quickly to health concerns, including making extra visits in their own time.
Note21 May 2019
Robust recruitment procedures with appropriate checks in place to confirm staff suitability.
Note21 May 2019
People felt safe and staff demonstrated a visible person-centred culture, with people describing staff as kind, compassionate and excellent.
minorcare_planning21 May 2019
The majority of people's care needs were assessed, planned and renewed. Where some had fallen behind the provider had a plan to address these.
minorconsent_capacity21 May 2019
Staff confirmed if people had a lasting power of attorney (LPA) in place but did not always have copies of the documentation to support this.
minorrecord_keeping21 May 2019
Storage of care records needed review. Care staff told us they had recently brought older care records from people's homes back to the provider's office.
minorsupervision_appraisal21 May 2019
Care and support staff meetings had not taken place regularly. During the inspection the provider contacted all staff to try and address this.
moderatesupervision_appraisal21 May 2019
Formal supervisions had not always taken place in line with provider policy but appraisals were planned.
minormedication_management21 May 2019
The medicines policy was missing some guidance and information which the provider told us they would address.
minormedication_management21 May 2019
A small number of medicines records required some improvement as they were not always in place or up to date.