Note25 Aug 2023
Positive partnership working established with district nurses and occupational therapists for long-term service users.
Note25 Aug 2023
Provider responded promptly to inspection feedback, immediately changing referral processes and bringing key staff together.
Note25 Aug 2023
Staff morale was good and staff felt well supported; provider focused on staff wellbeing and leadership development.
Note25 Aug 2023
Recent improvements to safeguarding training and medicines administration were made promptly following concerns.
Note25 Aug 2023
Effective infection prevention and control measures were in place; staff used PPE correctly.
Note25 Aug 2023
Staff were safely recruited including DBS checks.
Note25 Aug 2023
Care plans were detailed and personalised with person-centred and respectful content.
moderateleadership25 Aug 2023
The provider told us saw their role as being one of 'developing people to be leaders in adult social care,' rather than being involved in the day to day running of the service.
minorperson_centred_care25 Aug 2023
Staff just handed my family member an orange but didn't realise they had forgotten how to peel it. Person will stop eating if no one is there to encourage them.
minorcommunication_with_families25 Aug 2023
A relative said, 'When I complained about poor care, I kept getting different managers and staff phoning and apologising.'
moderaterecord_keeping25 Aug 2023
40% of call times had been manually inputted by staff who had recorded they had completed visits exactly as planned... none of these hundreds of visits had been shorter than planned.
moderateincident_learning25 Aug 2023
There were some gaps in investigations, for example, why staff had not called 999 in an emergency. This meant the registered manager had not picked up the above concerns.
moderatestaff_competency25 Aug 2023
A social care professional said, 'I don't use Violet Care for people with complex needs as I can't guarantee their safety.'
criticalsafeguarding25 Aug 2023
We found examples however where the service had dealt with concerns but had not raised appropriate referrals.
criticalmissed_or_late_visits25 Aug 2023
New referrals had not always been entered promptly onto the service's electronic tracking system. This meant staff monitoring the tracker had not picked up a number of missed visits.
moderatecare_planning25 Aug 2023
Risk assessments and care plans were detailed. However, they were not always updated, after a review or when circumstances changed.
criticalgovernance25 Aug 2023
The provider's systems and processes to assess, monitor and mitigate risks across the service were not always effective. This was a breach of Regulation 17 (2) (a) (b) [Good governance]