Note14 Mar 2019
100% 'good' or 'excellent' satisfaction survey outcomes and strong positive staff feedback about leadership support.
Note14 Mar 2019
Quality and safety committee meeting every two months reviewing incidents, feedback, governance compliance and training needs.
Note14 Mar 2019
Effective partnership working with hospitals, GPs, discharge co-ordinators and other healthcare agencies to facilitate timely hospital discharges.
Note14 Mar 2019
Safe and thorough recruitment processes including DBS, NMC registration checks, references and full employment histories.
Note14 Mar 2019
Strong person-centred culture with people and relatives describing staff as 'brilliant and caring', 'warm and personable' and 'a god-send'.
Note14 Mar 2019
Consistent and timely visits with no missed visits reported; registered manager monitored real-time alerts for late arrivals.
Note14 Mar 2019
Robust infection control measures rated 'very high standard' by people and relatives, with aseptic techniques observed at all times.
Note14 Mar 2019
Medicines systems were well-organised with a bespoke MAR developed with pharmacist support and a peer-to-peer RGN review process.
Note14 Mar 2019
Staff were knowledgeable, qualified and experienced RGNs who received appropriate training and regular supervision including supervised home visits by the clinical lead.
minorconsent_capacity14 Mar 2019
The service had a mental capacity assessment pro-forma which followed the MCA code of practice. This did not include a best interest process.
minorgovernance14 Mar 2019
there was not a system to analyse the data for trends which is important in order to review whether procedures are effective.
minorcare_planning14 Mar 2019
one person's score was on the threshold for needing further interventions...this outcome was not clearly recorded in the person's care plan.
minorrecord_keeping14 Mar 2019
one person's needs were recorded in the electronic care planning documentation as 'personal care three times a day' but did not specify the person's wishes or support requirements.
moderategovernance14 Mar 2019
the registered manager did not have a system in place or audit-trail to check that care planning documentation was accurate and up-to-date and complied with regulations.