Note30 Oct 2021
Provider achieved Investors in People silver accreditation
Note30 Oct 2021
Manager engaged with external organisations (Herbert Protocol, dementia-friendly initiatives, sensory garden funding)
Note30 Oct 2021
Quality assurance audits covering medication, care records, and staff practice with action plans
Note30 Oct 2021
Active complaints management with satisfactory resolution outcomes
Note30 Oct 2021
End of life care planning in place respecting individual wishes
Note30 Oct 2021
Alternative information formats (braille, large print) available for people with sensory impairments
Note30 Oct 2021
Cultural, religious, and communication needs assessed and recorded in care plans
Note30 Oct 2021
Person-centred care planning involving individuals, relatives, and health professionals
Note30 Oct 2021
Regular supervision, appraisals, and open-door management access for staff support
Note30 Oct 2021
Effective induction including Care Certificate, shadowing, and three-month probationary period
Note30 Oct 2021
Personalised, up-to-date risk assessments accessible to all staff
Note30 Oct 2021
Robust medicines management with trained staff, MAR records, and competency checks
Note30 Oct 2021
Staff received regular safeguarding training and were confident raising concerns with management
Note30 Oct 2021
Sufficient permanent staff employed with no need for agency staff; management and deputy covered gaps
Note30 Oct 2021
People felt safe and staff responded promptly to calls and emergencies, including pendant alarm responses
Note24 Jan 2021
Open culture with approachable management; staff felt well supported and able to raise concerns
Note24 Jan 2021
Robust recruitment checks including DBS were carried out prior to staff commencing work
Note24 Jan 2021
Complaints were documented, responded to in a timely manner, and lessons learned were communicated to staff
Note24 Jan 2021
Care records were personalised, including people's history, preferences, goals and objectives
Note24 Jan 2021
People were treated with dignity, respect, and kindness; staff promoted independence and privacy
Note24 Jan 2021
Staff received regular supervision, induction training, and ongoing development opportunities
Note24 Jan 2021
Medicines were administered safely, with weekly audits, competency assessments, and timely error investigation
Note24 Jan 2021
Staff were trained in safeguarding and understood procedures for reporting and escalating concerns
moderatecare_planning24 Jan 2021
Risk assessments were not always clear. They did not always record the outcome of the assessment, making it difficult to see what measures should be in place.
minorperson_centred_care24 Jan 2021
People told us they were not always fully involved in deciding how their care and support was delivered.
moderategovernance24 Jan 2021
These systems did not always work effectively, as for example, they had not identified that some risk assessments were not up to date.
moderateconsent_capacity24 Jan 2021
Care records did not clearly indicate whether or not people had capacity to make their own decisions.
moderaterecord_keeping24 Jan 2021
we found risk assessments were not always up to date... one person's care plan review there were concerns about their mobility. This information had not been updated in their care plan