Note21 Jun 2023
The service improved from Requires Improvement (and Well-led: Inadequate) at last inspection to Good overall, resolving all four prior regulation breaches.
Note21 Jun 2023
Staff felt well supported by team leaders and received regular supervision and team meetings.
Note21 Jun 2023
Information was available in accessible formats including easy read documents, pictures and iPads.
Note21 Jun 2023
Audits and quality checks were in place covering medicines, staff documentation, observations, and incident records.
Note21 Jun 2023
Complaints policy was effective with detailed records and prompt action taken on issues raised.
Note21 Jun 2023
Care plans were personalised, containing individuals' routines, likes/dislikes, goals and aspirations, and were co-produced with people and relatives.
Note21 Jun 2023
Safeguarding training was complete for all staff, who knew how to recognise and report abuse including to CQC and the local authority.
Note21 Jun 2023
Medicines were administered safely by trained staff with accurate MAR records and appropriate PRN documentation.
Note21 Jun 2023
Risk assessments were thorough and included input from relevant health professionals, with positive behaviour support plans in place for each individual.
minorleadership21 Jun 2023
Staff acknowledged that changes in management over time had created some inconsistencies but were happy they were being supported well by line managers that were in place.
moderategovernance21 Jun 2023
At the time of our inspection there was not a registered manager in post.
Note30 Mar 2022
People were supported to maintain links with those important to them
Note30 Mar 2022
Warm and positive interactions observed between staff and people, including supporting cooking and conversation
Note30 Mar 2022
Interim management team supported the inspection openly and took swift action when issues were identified
Note30 Mar 2022
Provider followed safe recruitment practices with appropriate checks on staff suitability
Note30 Mar 2022
Staff team provided kind and compassionate care and spoke warmly about people they supported
Note30 Mar 2022
Team leaders and many support staff worked over and beyond their contracted duties to support people and families
minorend_of_life_care30 Mar 2022
The provider had an end of life policy but people and those important to them had not been offered opportunities to share their views as part of end of life care planning.
minorinfection_control30 Mar 2022
We identified one of the cleaning products were not suitable or effective against COVID-19... Cleaning schedules were not always signed to show tasks completed.