Note2 Mar 2023
Team meetings were used well to improve care and discuss concerns openly.
Note2 Mar 2023
People and families were involved in initial assessments and subsequent reviews.
Note2 Mar 2023
Staff used PPE effectively, minimising the risk of COVID-19 transmission.
Note2 Mar 2023
Positive feedback received about consistent named care staff who provided compassionate, person-centred care.
Note2 Mar 2023
The service worked within the principles of the Mental Capacity Act and staff demonstrated good understanding of capacity.
Note2 Mar 2023
The registered manager had taken action to safeguard people when concerns were raised and increased unannounced spot checks.
Note2 Mar 2023
Staff had the skills to meet people's needs and families confirmed staff competency with tasks.
Note2 Mar 2023
Staff were recruited safely with appropriate DBS checks carried out.
minorinfection_control2 Mar 2023
We had feedback from relatives that some staff were not cleaning as required. This increased the risk of infection.
moderatecommunication_with_families2 Mar 2023
[Person] has a health need which started about 2 months ago, not one of the carers told me about it and they didn't alert the District Nurse either.
moderateperson_centred_care2 Mar 2023
Care was not always holistic and person-centred. A common theme from feedback we received was care provided by some staff was task focused.
moderatecare_planning2 Mar 2023
The local authority had highlighted in an audit in 2021 the concerns we found during our current inspection with medicine care plans and the monitoring of visit times.
moderatemedication_management2 Mar 2023
Not everyone had a clear care plan outlining what support they needed to take their medicines or who was responsible for ordering medicines.
criticalsafeguarding2 Mar 2023
The local authority told us the recent safeguarding alerts by partner agencies, rather than the service.
criticalincident_learning2 Mar 2023
The registered manager did not always notify CQC, as required. They had notified us when people had died but not after key safeguarding concerns.
criticalgovernance2 Mar 2023
The provider had not ensured effective processes were in place to assess, monitor and improve the quality and safety of the service. Breach of Regulation 17 (Good governance).