Note16 Mar 2022
Complaints handling system in place; people knew how to raise concerns
Note16 Mar 2022
Good working relationships with external health professionals such as GPs, community nurses and occupational therapists
Note16 Mar 2022
Safeguarding systems in place; staff trained and knew how to report concerns
Note16 Mar 2022
Stable staff team with good knowledge of people they supported
Note16 Mar 2022
Effective infection control and PPE compliance during COVID-19 pandemic
Note16 Mar 2022
People felt safe with staff and reported reliable, trustworthy support
Note16 Mar 2022
Sufficient staffing levels maintained; no new care packages accepted to avoid overstretching staff
criticalother16 Mar 2022
Lack of guidance for staff to manage risks safely was identified at the last three inspections in July 2019, May 2018 and February 2017.
moderaterecord_keeping16 Mar 2022
One staff member had written they had identified a sore area of skin. Staff in subsequent visits did not mention the soreness but it was raised again a few days later.
criticalgovernance16 Mar 2022
Auditing systems were not always effective in identifying shortfalls and ensuring safety. This placed people at risk of harm. Breach of regulation 17.
moderatemissed_or_late_visits16 Mar 2022
One person who had a 30 minute allocation, but their visit was recorded as '17.00 – 17.16'. Two relatives told us shortened visits was a regular occurrence.
moderateperson_centred_care16 Mar 2022
Daily records were task orientated and not person centred. Staff had written entries such as, 'Showered, dried and dressed'.
moderatecare_planning16 Mar 2022
Care planning information did not always reflect people's individual needs. One person had a catheter but there was no guidance for staff regarding its management.
criticalmedication_management16 Mar 2022
Some showed handwritten changes to the medicine's prescription, without explanation or the staff member's signature. One person was prescribed paracetamol, but staff had not documented the time they h…