Note15 Mar 2023
The service collaborated effectively with health and social care professionals such as district nurses and speech and language therapists.
Note15 Mar 2023
Staff recruitment was safe, with relevant pre-employment checks including DBS carried out.
Note15 Mar 2023
Registered manager was responsive, open and transparent; people, relatives and staff spoke positively about them.
Note15 Mar 2023
Effective infection prevention and control practices, including appropriate PPE use.
Note15 Mar 2023
Improvements had been made to medicines management since the last inspection, with accurate records and trained staff.
Note15 Mar 2023
Staff knew people well and understood how to meet their needs, with no evidence anyone had come to harm.
moderatemissed_or_late_visits15 Mar 2023
One person said, 'They aren't usually on time, they can be 30 minutes late.'
moderatemedication_management15 Mar 2023
Medicines audits did not identify some people's medicines and Medication Administration records (MARS) had not been reviewed for 3 months.
moderatesupervision_appraisal15 Mar 2023
Staff had not received support through supervisions or appraisals. However, staff attended team meetings so they could share their views.
moderatestaff_training15 Mar 2023
No staff had received learning disability training, which is now a requirement for all services who support people with a learning disability.
moderateconsent_capacity15 Mar 2023
We found mental capacity assessments and best interest decisions were not carried out for people who may lack capacity. Relatives choices were followed instead.
criticalincident_learning15 Mar 2023
The provider had received recommendations from the safeguarding team to improve their practice, but these had not been implemented and we found continued concerns during our inspection.
criticalsafeguarding15 Mar 2023
People were not always kept safe from avoidable harm as measures identified by the safeguarding team had not all been implemented.
criticalstaffing_levels15 Mar 2023
Staff rotas we looked at recorded some staff were attending 2 or more calls at the same time or no staff were assigned to calls at all.
criticalrecord_keeping15 Mar 2023
Care plans and risk assessments contained conflicting information...the information we reviewed in 1 person's care plan did not reflect the care plan in the person's home.
criticalgovernance15 Mar 2023
Systems were either not in place or robust enough to demonstrate effective management to ensure quality and manage risk. This was continued breach of Regulation 17.
criticalcare_planning15 Mar 2023
People did not always have risks to their safety assessed and planned for. For example, there were no risks assessment in place for specific health conditions people experienced such as motor neurone…