Note4 Nov 2022
The provider introduced a newsletter and held regular staff meetings to engage staff and people using the service.
Note4 Nov 2022
The service worked in partnership with social workers, occupational therapists and speech and language therapists.
Note4 Nov 2022
Staff received medicine administration training and competency assessments.
Note4 Nov 2022
Improvements were made around Mental Capacity Act compliance; the provider was no longer in breach of regulation 11.
Note4 Nov 2022
Staff had access to appropriate personal protective equipment (PPE) and improvements were made to COVID-19 testing compliance.
Note4 Nov 2022
Policies in relation to safeguarding were in place and staff received relevant training; staff showed a good understanding of whistleblowing and safeguarding procedures.
moderatesupervision_appraisal4 Nov 2022
50% of respondents said they did not feel supported by their line manager, did not feel able to contribute to improvements and been subjected to bullying or harassment at work.
minorcomplaints_handling4 Nov 2022
letters to people who had cause to complain were not clear and did not adequately explain what had gone wrong.
moderaterecord_keeping4 Nov 2022
We saw one safeguarding investigation report which contained numerous typographical errors which made the document indecipherable in places.
criticalleadership4 Nov 2022
there were widespread and significant shortfalls in service leadership. Leaders and the culture they created did not assure the delivery of high-quality care.
criticalgovernance4 Nov 2022
the provider was failing to assess, monitor and improve the quality and safety of the service effectively
moderatemissed_or_late_visits4 Nov 2022
The carers are never on time and I am always waiting.
moderatestaff_training4 Nov 2022
The training matrix also showed staff had not received diabetes training.
criticalmedication_management4 Nov 2022
The failure to ensure the safe management of people's medicines was a continued breach of regulation 12
criticalcare_planning4 Nov 2022
Care plans did not contain information about the risk of low blood sugar (hypoglycaemia) or what signs or symptoms might indicate people were experiencing low blood sugar
criticalstaff_competency4 Nov 2022
The provider did not follow safe recruitment processes to ensure staff were suitable to work with people with health and social care needs.