Note6 Jun 2024
People had the opportunity to provide feedback and formal complaints were investigated.
Note6 Jun 2024
The provider worked with other healthcare professionals, including district nursing teams, receiving positive feedback.
Note6 Jun 2024
There were enough staff to meet people's needs, with cover available for missed calls.
Note6 Jun 2024
Staff followed infection control policies and used PPE effectively.
Note6 Jun 2024
Staff received appropriate training, induction and felt confident working independently.
Note6 Jun 2024
People felt safe receiving support from care staff and spoke highly of carers.
Note6 Jun 2024
Staff completed safeguarding training and had awareness and understanding of abuse, knowing how to report safeguarding concerns.
minorsupervision_appraisal6 Jun 2024
Some staff felt supervisions were helpful and a safe space to discuss any concerns. Others felt they were not well supported by the manager and did not feel comfortable raising issues.
moderateperson_centred_care6 Jun 2024
One person requested to be supported by female staff only, but this was not recorded in their care plan. We saw that on one occasion this person's request was not accommodated.
moderaterecord_keeping6 Jun 2024
Staff used a communication portal to share concerns about people's health and wellbeing, however we saw no evidence that the provider took any actions to follow up on the concerns.
moderateleadership6 Jun 2024
One staff member said, 'The [registered] manager is rough with us. The management style is very outdated, they don't listen to staff'.
criticalincident_learning6 Jun 2024
There was a lack of evidence to show the provider had processes in place to learn from events. The issues identified at the previous inspection were still not addressed at this inspection.
criticalconsent_capacity6 Jun 2024
People had mental capacity assessments but they were not completed in line with the Mental Capacity Act Code of Practice. There were no best interest decisions in place for people who lacked capacity.
criticalgovernance6 Jun 2024
The provider's auditing processes were ineffective and did not identify any of the shortfalls found during our inspection. Care plan audits did not identify the lack of information recorded in 9 diffe…
criticalstaffing_levels6 Jun 2024
We found 8 recruitment files of staff employed at the service that did not include checks with the Barring Service. This meant people were at risk of receiving care from unsuitable staff.
criticalmedication_management6 Jun 2024
There was no guidance in place for people who were prescribed 'as and when required' medicines and staff did not record the dose administered.