Note5 Dec 2023
People and relatives reported positive experiences of care and felt comfortable communicating with staff.
Note5 Dec 2023
Incident and accident learning was shared with staff through meetings and memos.
Note5 Dec 2023
Sufficient staffing levels were maintained and safe recruitment processes were in place.
Note5 Dec 2023
The provider worked in partnership with advocacy and other health and social care organisations.
Note5 Dec 2023
The registered manager was open, transparent, and responsive to inspection feedback, taking prompt remedial action.
Note5 Dec 2023
People were supported to have maximum choice and control in the least restrictive way; MCA and DoLS principles were followed.
Note5 Dec 2023
Staff understood how to recognise and report abuse and knew how to apply training.
Note5 Dec 2023
Safeguarding procedures were followed and lessons learnt following concerns about unexplained bruising.
Note5 Dec 2023
Staff had low turnover, supporting consistent care from staff who knew people well.
minorinfection_control5 Dec 2023
some areas of the care home and some supported living houses where the integrity was compromised due to wear and tear. This would impact the providers ability to prevent infections.
moderaterecord_keeping5 Dec 2023
Some of the daily records did not always clearly detail what de-escalation methods were used before medication and other interventions were used.
criticalgovernance5 Dec 2023
medicines audits were ineffective as they did not identify stock count inaccuracies. Kitchen audits and cleaning schedules did not identify rust in the microwave.
moderatecare_planning5 Dec 2023
some of these were not always person centred. Some people's care plans did not contain detailed information about their goals, aspirations, and development of life skills.
moderatecare_planning5 Dec 2023
care plans did not always contain accurate information about people's risks...some risk assessments lacked detail about what special equipment people needed or how staff should monitor
moderatemedication_management5 Dec 2023
some topical creams and liquid medicines had not been dated when they were opened. This meant there was a risk these could be used after their expiry date.
criticalmedication_management5 Dec 2023
when we checked the stock balance of medicines these were not always accurate with what had been administered. There were a lack of records stating what the overall stock balance should be.
Note26 Jan 2021
Registered manager understood notification requirements and the whistleblowing policy was known to staff
Note26 Jan 2021
Provider had a complaints process in place with trend monitoring
Note26 Jan 2021
Staff showed compassion and caring behaviour, described as 'fantastic' by a relative
Note26 Jan 2021
Advocates were made available to support people who could not share their views independently
Note26 Jan 2021
Staff were able to seek support when needed and received supervision and appraisals
Note26 Jan 2021
Robust recruitment process including DBS checks, references, and shadowing induction
Note26 Jan 2021
People were supported to access healthcare professionals and community activities
Note26 Jan 2021
People's independence, privacy and dignity was respected by staff
Note26 Jan 2021
Staff demonstrated a good understanding of people's needs, likes and dislikes
Note26 Jan 2021
People told us they felt safe and were happy with how staff administered their medicines
minorstaff_training26 Jan 2021
It was clear that while training was available not all staff had completed the MCA training and DoLS training was in the process of being delivered.
minorstaffing_levels26 Jan 2021
Over a weekend when more people were in the home due to the respite service there was no indication that staffing levels were being adjusted based upon people's needs.
moderategovernance26 Jan 2021
Cleaning rotas were not being regularly monitored and checked and as a result we saw areas of the home which had not been regularly dusted and cobwebs had gathered.
moderatestaff_competency26 Jan 2021
I have not had my competency checked since... Another member of the staff told us they had not had their competency checked in over 12 months.