Note29 Jan 2020
People and staff spoke positively about the registered manager as approachable and responsive.
Note29 Jan 2020
The service worked collaboratively with occupational therapy, speech and language therapy, and other professionals.
Note29 Jan 2020
Infection control measures were in place including use of gloves, aprons, and hand hygiene.
Note29 Jan 2020
End of life care plans were in place and the service worked with other agencies as appropriate.
Note29 Jan 2020
The service had a complaints procedure in place and responded to complaints promptly.
Note29 Jan 2020
Care plans were personalised, detailed, and subject to regular review.
Note29 Jan 2020
The service operated within the principles of the Mental Capacity Act 2005, with mental capacity assessments carried out.
Note29 Jan 2020
People were supported by the same regular care staff, promoting continuity and good relationships.
Note29 Jan 2020
Staff received individual one-to-one supervision every two months.
Note29 Jan 2020
Staff received regular training including induction, Care Certificate, medicines, moving and handling, dementia, and first aid.
Note29 Jan 2020
Risk assessments were in place covering moving and handling, falls, medicines, and the physical environment.
Note29 Jan 2020
People told us they felt safe using the service and spoke positively about caring, respectful staff.
minorcare_planning29 Jan 2020
Not all care plans included [life history]. It was only included in one of the four care plans we reviewed.
moderatemissed_or_late_visits29 Jan 2020
For one member of staff in that period they had six appointments and had only logged in and out for one of them.
moderaterecord_keeping29 Jan 2020
Two staff had left this section of their application form blank and there was no other record on the file to account for this.
moderaterecord_keeping29 Jan 2020
The registered manager told us they did not usually keep a record of these monitoring calls and was only able to produce three such records during the inspection.
criticalgovernance29 Jan 2020
Lack of effective quality assurance and monitoring systems and poor record keeping were a breach of Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) 2014.
criticalsafeguarding29 Jan 2020
The registered manager was not aware of their responsibilities with regard to safeguarding...they would only report a safeguarding if the alleged victim agreed to this
criticalmedication_management29 Jan 2020
They contained three instances where correction fluid had been used which meant it was not possible to see what the original entry had been.
criticalmedication_management29 Jan 2020
The medicine record for this person did not name the individual medicines the person took. Their medicines were all in a blister pack and the medicine chart simply stated, 'blister pack'
Note11 Sept 2019
Bereavement and reflection support in place for staff following end of life care.
Note11 Sept 2019
Health care passports used to inform healthcare professionals in emergencies.
Note11 Sept 2019
Previous breaches of Regulations 12 and 17 fully remediated since last inspection.
Note11 Sept 2019
Service provided information in accessible formats including braille, large print, audio, and different coloured paper.
Note11 Sept 2019
Strong multi-agency working with district nursing, GPs, pharmacists, and palliative care teams.
Note11 Sept 2019
Effective quality assurance systems including spot checks, audits, supervisions, appraisals, and monthly quality monitoring meetings.
Note11 Sept 2019
Robust staff training programme including mandatory training, refresher courses, and opportunities for further qualifications.
Note11 Sept 2019
Comprehensive, person-centred support plans including life history, personal goals, and detailed care instructions.
Note11 Sept 2019
Electronic medicine administration records reviewed daily by management to ensure medicines administered as prescribed.
Note11 Sept 2019
Relatives reported staff were caring, patient and did not rush people, often staying longer than scheduled visit times.