Note19 Jan 2023
Positive workplace culture; staff expressed satisfaction with their roles.
Note19 Jan 2023
Registered manager understood duty of candour obligations.
Note19 Jan 2023
People and families involved in care planning and 12-weekly reviews of care.
Note19 Jan 2023
Staff respected people's privacy, dignity and independence during care delivery.
Note19 Jan 2023
People supported with continuity of care from regular, familiar carers.
Note19 Jan 2023
Staff trained in safeguarding and infection prevention and control; PPE used correctly.
Note19 Jan 2023
Sufficient staffing levels with punctual attendance; no missed calls reported by people using the service.
Note19 Jan 2023
Robust pre-employment checks including DBS were completed for all recruited staff.
Note19 Jan 2023
People and relatives consistently reported feeling safe and praised the kindness, patience and consistency of care staff.
minormedication_management19 Jan 2023
We found some minor improvements were needed in medicine administration records (MAR), including more consistent use of body maps to show where creams should be applied.
moderaterecord_keeping19 Jan 2023
Although the majority of care records were comprehensive, some lacked detail. For example, one person who received catheter care did not have an appropriate care plan.
moderatesupervision_appraisal19 Jan 2023
Staff supervision had fallen behind and had not been carried out every 3 months as outlined in the service staff training policy.
criticalgovernance19 Jan 2023
The provider had failed to provide consistent oversight of the service. This was a breach of regulation 17 (good governance) of the Health and Social Care Act 2008.
moderateincident_learning19 Jan 2023
There was no over-arching analysis of accident or incidents. We found one person had received minor injuries from a repeated incident, which might have been identified if analysis had taken place.
Note29 Jan 2020
The service did not use agency staff, promoting continuity of care.
Note29 Jan 2020
People reported carers usually arrived on time and visits were rarely missed.
Note29 Jan 2020
The registered manager took immediate action to implement improved medicines procedures following inspection.
Note29 Jan 2020
All 39 respondents in the May 2017 quality assurance survey responded positively to dignity and respect questions.
Note29 Jan 2020
Care plans were person-centred and thorough, reviewed every three months or more frequently if required.
Note29 Jan 2020
Staff received regular supervision every three months with opportunity to request more frequent sessions.
Note29 Jan 2020
Staff had undertaken a variety of training which enabled them to carry out their roles effectively.
Note29 Jan 2020
Appropriate recruitment checks had been carried out on all staff to ensure they were suitable to work with vulnerable people.
Note29 Jan 2020
People told us they felt safe with the care and support provided by staff.
moderaterecord_keeping29 Jan 2020
Some of the medicines recorded on the sheet did not have a dose recorded against them...signatures to show that a medicine had been given had been omitted on numerous occasions.
moderategovernance29 Jan 2020
Monthly audits of the MARs and care plan documentation were carried out. However, these had not identified the problems we found with medicines management.
criticalmedication_management29 Jan 2020
paracetamol had been given at 09.30 and again at 12.30...the safe dosage for paracetamol and tramadol is for it to be given no more frequently than every 4-6 hours.
criticalmedication_management29 Jan 2020
One medicine had been given, but not signed for on the previous twelve days.
criticalmedication_management29 Jan 2020
We observed a visiting carer remove the medicines from the blister pack and give them to the person, without first checking the MAR.
Note29 Jan 2020
Accessible Information Standard met; information provided in easy read, large print and other languages as required
Note29 Jan 2020
Business continuity plan in place covering flu pandemic, loss of premises, IT failure, fuel shortages and severe weather