Note7 Apr 2023
Staff from overseas felt respected and supported with cultural differences acknowledged.
Note7 Apr 2023
Management working in partnership with local authority to support health care system pressures.
Note7 Apr 2023
Registered manager completed inductions and ensured staff were confident before lone working.
Note7 Apr 2023
Sufficient staffing levels maintained with systems to manage lateness.
Note7 Apr 2023
Staff knew how to safely use PPE and had consistent access to it.
Note7 Apr 2023
People and relatives were positive about staff, describing them as kind, caring and safe.
moderateleadership7 Apr 2023
The directors and registered manager lacked knowledge on current legislations, guidance and standards.
minorsupervision_appraisal7 Apr 2023
The systems to listen to staffs' views and those of people who use the service had not been utilised for over a year.
minorinfection_control7 Apr 2023
No individual COVID-19 risk assessments had been completed during the pandemic unless the person was COVID-19 positive. This was not in line with government guidance.
moderaterecord_keeping7 Apr 2023
The provider had recently introduced several digital systems. This had led to gaps in people's care records including a lack of assessing risks.
moderatestaff_training7 Apr 2023
6 out of 13 staff had not received training in safeguarding and some had only read the company policy as their training.
moderateincident_learning7 Apr 2023
A second group of electronic incidents were shared by one of the directors. The registered manager was unaware of this second group, so they had not been reviewed.
criticalcare_planning7 Apr 2023
People's care plans contained no risk assessments meaning staff could provide inconsistent and unsafe care.
criticalgovernance7 Apr 2023
Audits were inconsistently completed or did not exist. For example, audits for accidents and incidents contained months that were blank.
criticalmedication_management7 Apr 2023
Medicines records did not meet best practice requirements as they did not contain details of individual medicines administered.
criticalsafeguarding7 Apr 2023
Two incidents which should have been safeguarded had not been recognised by the management. No alerts to the local authority safeguarding team or CQC had been made in line with legislation.