Note21 Oct 2023
End of life care policy in place reflecting national best practice guidance
Note21 Oct 2023
Positive open culture with improved communication between management and staff
Note21 Oct 2023
Staff demonstrated good knowledge of people's routines, preferences and complex care needs
Note21 Oct 2023
Strong partnership working with health and social care professionals including GPs, district nursing and specialist services
Note21 Oct 2023
Complaints management systems improved; people could raise concerns easily and staff responded to professional feedback
Note21 Oct 2023
Governance systems significantly improved since last inspection with electronic quality assurance system and regular audits
Note21 Oct 2023
Continuity of care promoted through small staff 'routes' with route leaders providing oversight
Note21 Oct 2023
Effective infection prevention and control measures promoted, including staff training and PPE provision
Note21 Oct 2023
Safe medicines administration practices improved with monthly audits and daily stock checks successfully identifying a recent error
Note21 Oct 2023
Staff were safely recruited with full pre-employment checks including overseas criminal record checks where applicable
minorperson_centred_care21 Oct 2023
there was limited and variable information gathered about people's wider social needs, such as their culture and interests
minorsafeguarding21 Oct 2023
We identified one incident witnessed by care staff where the service had not sought guidance from the local authority as to whether the threshold was met for a safeguarding referral
minorrecord_keeping21 Oct 2023
1 staff member's file contained 3 documents relating to another staff member…the service had failed to display its rating at the office location and on its webpage
moderateincident_learning21 Oct 2023
not all incidents had been logged on the system. This meant we could not be assured this data available to the registered manager was fully accurate
minormedication_management21 Oct 2023
1 person's risk assessment did not include the storage location for their prescribed creams or include the potential fire risk associated with the use of emollient creams
moderatecare_planning21 Oct 2023
1 person's care plan contained information about 3 different types of epileptic seizures without specifying which type of seizures the person normally experienced