Note21 Sept 2023
Regular residents' meetings and relative surveys promoting engagement and involvement.
Note21 Sept 2023
Systems to learn from incidents with detailed review meetings and records of triggers and outcomes.
Note21 Sept 2023
Effective partnership working with external health and social care professionals.
Note21 Sept 2023
Registered manager open, approachable, and praised unanimously by people, relatives, and staff.
Note21 Sept 2023
Culturally diverse staff team speaking multiple languages, supporting people in their first language and respecting equality characteristics.
Note21 Sept 2023
Positive, person-centred culture with staff supporting people to achieve personal aspirations and maintain independence.
Note21 Sept 2023
Staff knowledgeable about people's needs, safeguarding, and MCA/DoLS principles; consent sought before providing support.
Note21 Sept 2023
Sufficient staffing levels with on-call procedures; reduced reliance on agency staff through overseas recruitment.
Note21 Sept 2023
Safe recruitment checks completed including overseas staff, DBS checks, references and employment history.
Note21 Sept 2023
Medicines management significantly improved: correct ordering, storage, administration, staff training and competency assessments all in place.
minorrecord_keeping21 Sept 2023
care records required further development to ensure all information was included in people's care plans. Care plans were under review at the time of our inspection.
moderategovernance21 Sept 2023
We found environmental audits required further development...broken wall mirror, toilet seats, dirty bath-mats and a window dressing that needed replacement. These had not been identified in audits.
moderatecare_planning21 Sept 2023
Positive behaviour support plans required further development to ensure people received safe, effective support.