Note7 Aug 2023
People were supported to access external healthcare services and the registered manager proactively noticed changes in health.
Note7 Aug 2023
No missed care calls reported; registered manager described as always on time.
Note7 Aug 2023
The registered manager knew people well, respected their dignity and independence, and promoted person-centred communication including use of objects of reference.
Note7 Aug 2023
Infection control procedures were in place and personal protective equipment was used consistently.
Note7 Aug 2023
Medicines were administered safely and in line with prescriber's instructions.
Note7 Aug 2023
Relatives described very positive relationships with the registered manager, with one saying they would give her '11 out of 10'.
moderateleadership7 Aug 2023
there was no-one else involved in running the service and there was no other oversight of the registered manager's practice.
moderatestaff_training7 Aug 2023
the registered manager told us they received their last training in August 2017, 15 months earlier. This meant they may not be up to date with legislation and best practice.
moderaterecord_keeping7 Aug 2023
people's care plans did not consistently record these. This meant that if new staff provided people's care, they would not have sufficient guidance.
moderatecare_planning7 Aug 2023
one person's care plan contained no information about the continence aid they used or the aids they used to help them drink independently.
criticalgovernance7 Aug 2023
The provider did not have adequate oversight of the service to ensure that people were provided with a high-quality, safe service.
criticalconsent_capacity7 Aug 2023
Where people did not have the mental capacity to make decisions, processes had not have been followed to protect people from unlawful restriction and unlawful decision making.
Note7 Aug 2023
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.
Note7 Aug 2023
Mental capacity assessments and best interest decisions were now in place where needed, with families involved in decisions.
Note7 Aug 2023
Risk assessments were now in place for risks such as bed rails, diabetes and choking, meaning staff had information needed to care for people safely.
criticalsafeguarding7 Aug 2023
New staff had sometimes been employed before all of their recruitment checks were returned. Care staff had been employed before their criminal records checked were returned and were working alone.
criticalleadership7 Aug 2023
Although the areas for improvement had been identified during previous inspections and discussed with the registered manager, action had still not been taken to make all of the required improvements.
moderaterecord_keeping7 Aug 2023
Handwritten entries to the medicine charts had not included the name of the person making the entry and it had not been countersigned by another member of staff.
criticalgovernance7 Aug 2023
The provider's governance systems had failed to identify that the recruitment procedure had not always been followed and action had not been taken to request missing information.
criticalstaff_competency7 Aug 2023
For the three members of staff who had been employed since the previous inspection; the registered manager was not able to produce a medication competency assessment however they were administering me…
criticalstaff_training7 Aug 2023
Staff were not completing their induction, core training and competency assessments as set by the provider before working with people unsupervised.
criticalmedication_management7 Aug 2023
Staff still had not received training and competency assessments before administering medicines to people unsupervised. This meant that people may not receive their medicines as prescribed.