Note4 Jan 2023
The service had grown considerably since the last inspection without negatively impacting care quality.
Note4 Jan 2023
Complaints were recorded, investigated and resolved appropriately.
Note4 Jan 2023
End of life care was delivered in line with people's wishes, including involvement in DNACPR decisions.
Note4 Jan 2023
Staff supported people's rehabilitation and independence, liaising with physiotherapy and palliative care teams.
Note4 Jan 2023
People and relatives were involved in care planning, assessments, and regular formal care reviews.
Note4 Jan 2023
Electronic care records system provided real-time governance alerts for missed visits, training due dates, and supervision scheduling.
Note4 Jan 2023
Staff received regular training, supervision and competency checks, with training needs analysis undertaken by management.
Note4 Jan 2023
Safe recruitment practices including references, identity checks, eligibility to work checks, and criminal record checks.
Note4 Jan 2023
Clear risk assessments were in place, particularly for falls, with plans to mitigate and minimise identified risks.
Note4 Jan 2023
People received care from a consistent staff team with whom they had built good relationships, including one care worker supporting a client for 5 years.
minorgovernance4 Jan 2023
They had not yet developed links with the local authority or forums for managers of social care services, however, they told us they had plans to do so.
minorleadership4 Jan 2023
At the time of our inspection there was not a registered manager in post. However, the new manager had begun their application.
minorgovernance4 Jan 2023
The provider had not asked for people's and their relative's formal feedback over the last year.