Note8 Jun 2023
The provider worked in partnership with community health and social care professionals evidenced in care plans.
Note8 Jun 2023
People were supported to have choice and control, including personalising their living spaces.
Note8 Jun 2023
The registered manager promoted an open and inclusive culture and demonstrated a good understanding of duty of candour.
Note8 Jun 2023
Staff recruitment was safe with DBS checks, employment history and references completed.
Note8 Jun 2023
Staff understood STOMP principles and medicines were administered, recorded and stored safely with audits in place.
Note8 Jun 2023
Safeguarding systems were in place including a safeguarding log and regular team meeting discussions.
Note8 Jun 2023
Staff were knowledgeable about the people they supported and had established good rapport.
Note8 Jun 2023
Risks to people were recognised, assessed and managed safely with regular reviews whenever needs changed.
minormedication_management8 Jun 2023
People had medicine support plan and protocols describing when they should be offered some of their 'when required' medicines however we found some documentation lacked details.
moderateinfection_control8 Jun 2023
One of the supported living houses we visited was unclean and although we saw evidence of cleaning records there was not enough time allocated.
moderatesupervision_appraisal8 Jun 2023
Recent management changes meant there were gaps, for example with supervision and surveys however there was evidence these were being addressed.
criticalgovernance8 Jun 2023
Systems were not yet robust enough to demonstrate good governance. This placed people at risk of harm. This was a continued breach of regulation 17.
criticalstaffing_levels8 Jun 2023
Staff and relatives felt staffing levels were poor. "We are firefighting, the priority has to be keeping staff and service-users safe."
criticalstaffing_levels8 Jun 2023
The provider did not monitor late calls to people living in their own homes. Therefore, we could not be assured people were receiving care as planned.
Note30 Oct 2021
End of life care wishes were discussed sensitively and recorded in support plans
Note30 Oct 2021
Comprehensive communication support plans and use of Makaton and PECS to support people's expression
Note30 Oct 2021
Service worked collaboratively with external agencies including commissioning, safeguarding, GPs and therapists
Note30 Oct 2021
Positive, open and honest culture with staff feeling valued and well supported by management
Note30 Oct 2021
Effective quality assurance audits including medicines, care records, health and safety, and staff performance
Note30 Oct 2021
People were supported to maintain maximum independence and choice in line with MCA principles
Note30 Oct 2021
Care records were person-centred, detailed, and regularly updated to reflect changing needs
Note30 Oct 2021
Staff received regular supervision, appraisal, and a rolling programme of relevant training including PBS