Note24 Jun 2023
No formal complaints had been made to the service in the last year and people felt listened to when raising issues.
Note24 Jun 2023
Staff worked in partnership with people, relatives and health and social care professionals to provide good outcomes.
Note24 Jun 2023
The registered manager had established a positive and inclusive staff culture with very positive feedback from staff and people.
Note24 Jun 2023
Infection prevention and control procedures were in place, regularly reviewed, and staff had adequate PPE.
Note24 Jun 2023
Staff understood how to protect people from abuse and safeguarding procedures were in place.
Note24 Jun 2023
People told us they felt safe with staff and were complimentary of the care they received.
Note24 Jun 2023
Sufficient staff employed to ensure people received consistent care; staff usually arrived on time.
criticalstaff_competency24 Jun 2023
Recruitment processes were not robust as appropriate checks had not always been completed before staff started employment. No interview records were completed.
criticalsafeguarding24 Jun 2023
We saw one safeguarding incident which had been investigated and reported to the local authority but had not been reported to CQC.
criticalincident_learning24 Jun 2023
Incidents were not consistently identified, recorded or acted on to ensure people's safety. Incidents were not consistently analysed to ensure lessons were learned.
criticalgovernance24 Jun 2023
Audits of care records were not completed. Checks of daily notes assessed the font type and pen colour staff used but did not check appropriate care had been provided.
moderatestaff_training24 Jun 2023
1 staff member had not received updates to their medication or safeguarding training since 2019. The registered manager's training was not up to date.
moderaterecord_keeping24 Jun 2023
Some care records were not dated so it was not clear which version should be followed. We identified areas for improvement across all of the care records we reviewed.
criticalcare_planning24 Jun 2023
People's care plans were not always accurate and did not reflect the care and support required to meet their needs and keep them safe.
criticalmedication_management24 Jun 2023
1 person's MAR showed they had been given a medicine daily for 6 days when it was prescribed to be given weekly.