Note2 Feb 2024
The provider carried out quality assurance visits and maintained an action plan for improvement.
Note2 Feb 2024
Staff felt able to raise concerns with management and reported feeling supported by the manager.
Note2 Feb 2024
Management and staff were aware of their MCA obligations and respected people's right to refuse support.
Note2 Feb 2024
Infection prevention and control measures were in place, with PPE provided and staff training completed.
Note2 Feb 2024
Staff knew how to recognise and report abuse and handled allegations appropriately.
Note2 Feb 2024
The provider ensured people's bungalows were personalised and maintained a safe, clean, well-equipped environment.
Note2 Feb 2024
Medicines were managed in a way that promoted independence and achieved the best possible health outcome, with STOMP principles implemented.
Note2 Feb 2024
Safe recruitment processes had been followed for staff employed directly by the provider.
minorcommunication_with_families2 Feb 2024
Relatives...felt they and their relatives that use the service had not been asked for their feedback on the service or given an opportunity to attend any engagement meetings.
moderatecare_planning2 Feb 2024
People's positive behaviour support plans were not always being followed and records of incidents did not include any evidence of them being followed.
moderateperson_centred_care2 Feb 2024
The culture at the service did not always support person centred practices. The service was managed and viewed as 'a whole' rather than individual tenants in their own homes.
moderategovernance2 Feb 2024
Audits were carried out by the manager. However, these did not always identify and address issues effectively.
moderaterecord_keeping2 Feb 2024
Some records kept in people's bungalows used by staff to communicate with each other were not appropriate or fit for purpose and were not monitored by the manager.
criticalmedication_management2 Feb 2024
Guidance and records were not always in place to support the safe administration of topical medicines... some records were missing.
criticalincident_learning2 Feb 2024
Records of incidents and accidents were not effective, and any outcomes or lessons learnt from them were not always recorded or shared with staff and the appropriate bodies.
criticalstaff_training2 Feb 2024
Person centred inductions were not always carried out with new agency staff. Agency staff were not always provided with adequate time to get to know people.
moderatestaffing_levels2 Feb 2024
People were supported by a high percentage of agency workers at the time of our inspection due to ongoing recruitment and staffing issues.