Note8 Feb 2024
Staff were compliant with infection prevention and control measures with sufficient PPE supplies.
Note8 Feb 2024
Provider was responsive to inspection findings and immediately took action to rectify shortfalls identified.
Note8 Feb 2024
Effective partnership working with GPs, District Nurses, and local authorities.
Note8 Feb 2024
Service was working within the principles of the Mental Capacity Act.
Note8 Feb 2024
Provider was proactive in gaining feedback from people, relatives and staff through regular engagement including monthly coffee mornings.
Note8 Feb 2024
Effective safeguarding systems in place; staff knew how to report and raise concerns.
Note8 Feb 2024
Safe and effective recruitment process with thorough pre-employment checks for all staff.
Note8 Feb 2024
Staff felt well cared for, listened to, and valued by the provider and management team.
Note8 Feb 2024
People and relatives provided overwhelmingly positive feedback; one person said 'I have found the carers to be brilliant. They have given me my life back.'
moderaterecord_keeping8 Feb 2024
Provider audits were not effective and failed to identify any of the issues we found on inspection.
moderateincident_learning8 Feb 2024
We were not assured the system for learning lessons were effective because audits had not consistently highlighted where improvements were needed.
criticalgovernance8 Feb 2024
The provider did not have effective audits in place to monitor and review the effectiveness or the safety of the service. We identified shortfalls in medicines, calls times, record keeping and trainin…
criticalstaff_training8 Feb 2024
Most staff did not have epilepsy, diabetes or stoma care training, despite providing care to people with these conditions.
criticalcare_planning8 Feb 2024
5 lacked specific guidance on how staff should provide person centred care in relation to people's health risks. For example, there was a lack of information for staff on how to manage people with epi…
criticalmedication_management8 Feb 2024
PRN protocols were not in place where required for 5 people. The provider did not have a system in place for staff to record and monitor 4-hour gaps required between administration of paracetamols.