Note20 Jun 2023
Unannounced spot and competency checks on staff were completed by the management team.
Note20 Jun 2023
The registered manager promoted a positive, inclusive culture and was receptive to feedback.
Note20 Jun 2023
Staff felt fully supported in their role and received feedback through supervisions.
Note20 Jun 2023
Infection prevention and control practice was followed by staff, including correct use of PPE.
Note20 Jun 2023
People were supported with their medicines safely and staff had medication training with competency assessed.
Note20 Jun 2023
Staff were knowledgeable in safeguarding procedures and aware of how to escalate concerns.
Note20 Jun 2023
Staff were recruited safely with criminal record checks, identity and right to work checks completed.
Note20 Jun 2023
People told us they felt safe with the staff and the care provided.
minorperson_centred_care20 Jun 2023
A person's religion and culture was not accurately reflected. This was raised with the registered manager and they agreed to follow this up.
moderatemedication_management20 Jun 2023
Staff had recorded medicines were prompted despite no reference made in the care plan.
moderatestaff_training20 Jun 2023
The training matrix highlighted where staff training was due to expire or had expired. Training was booked for some staff but not all.
criticalrecord_keeping20 Jun 2023
A body map detailed the different sites where the skin damage had occurred, but these were not dated nor detailed any follow-up actions.
moderateincident_learning20 Jun 2023
Accidents and incidents were analysed individually, however there was limited oversight to identify any trends.
criticalgovernance20 Jun 2023
The provider's oversight systems and processes were not effectively used to monitor the quality of service being provided and to drive improvements.
criticalcare_planning20 Jun 2023
Care plans were not always kept up to date and contain sufficient up to date guidance for staff to follow to keep people safe.