Note23 Feb 2024
Service worked in partnership with health and social care professionals.
Note23 Feb 2024
Registered manager was responsive and receptive to inspection feedback, taking immediate corrective action.
Note23 Feb 2024
Provider had systems in place to learn lessons when things went wrong.
Note23 Feb 2024
Positive staff culture reported; staff felt supported, engaged and valued.
Note23 Feb 2024
Service worked within the principles of the Mental Capacity Act 2005.
Note23 Feb 2024
Good infection prevention and control practice observed, with staff wearing appropriate PPE.
Note23 Feb 2024
Medicines management systems were in place with staff competency checks for safe administration.
Note23 Feb 2024
Staff received training in safeguarding and knew how to report concerns confidently.
criticalrecord_keeping23 Feb 2024
There were inconsistencies with obtaining staff references and the suitability of these. The system to ensure all necessary checks on staff were completed before being employed was not robust.
minorcommunication_with_families23 Feb 2024
several people shared examples of challenges with communication, where English was not the care staff's first language, and not knowing which member of care staff to expect for their visit.
moderatestaff_training23 Feb 2024
Not all care staff had up to date training such as in healthcare tasks.
moderatemissed_or_late_visits23 Feb 2024
a person had a care call for 16 minutes when the planned call was 30 minutes. Another person received a 15-minute care call when it was planned for 30 minutes.
moderatecare_planning23 Feb 2024
People's care records did not always include clear guidelines for staff in how to manage risks to their care. This placed people at risk of harm.
criticalgovernance23 Feb 2024
The providers governance systems were not always robust and effective at identifying improvements needed. This was a breach of Regulation 17 (Good Governance).
criticalstaffing_levels23 Feb 2024
DBS checks completed up to 5 months after the staff member's start date. The registered manager told us care staff would not have undertaken care tasks alone during this time, however they were unable…