Note7 Jul 2023
Provider responded promptly to inspection findings and demonstrated commitment to continuous improvement.
Note7 Jul 2023
Staff felt valued and proud to work for the service; positive culture reported by both staff and people using the service.
Note7 Jul 2023
Effective infection prevention and control measures were in place with staff trained and equipped with PPE.
Note7 Jul 2023
People felt safe and safeguarding was a standing agenda item in supervisions and team meetings.
Note7 Jul 2023
Risks to people's health and safety were clearly monitored and assessed, with detailed individualised risk assessments.
Note7 Jul 2023
People and relatives reported consistent call times and said staff were kind, caring, and went above and beyond.
Note7 Jul 2023
Medicines were managed safely; people received medication as prescribed and on time with competency assessments in place for staff.
minorincident_learning7 Jul 2023
The registered manager maintained a log of any falls but there was no system to maintain an overview of accidents and incidents.
moderaterecord_keeping7 Jul 2023
We were assured some checks were in place of care records but they were informal and required more detail.
criticalstaff_competency7 Jul 2023
Robust recruitment checks were not in place. We found gaps in staff employment histories had not been explored and dates on references were not always consistent
criticalgovernance7 Jul 2023
Systems had not been established to assess, monitor and improve the safety and quality of the service. This was a continued breach of regulation 17(1)
Note30 Nov 2022
Six satisfaction surveys completed in September 2022 all expressed satisfaction with the service
Note30 Nov 2022
Care records showed the service worked in partnership with health and social care professionals
Note30 Nov 2022
Staff had received infection control training and were provided with adequate PPE supplies
Note30 Nov 2022
Staff said they enjoyed their jobs and felt supported by the office staff
Note30 Nov 2022
Staff described as polite, lovely and friendly by people and relatives
moderatecomplaints_handling30 Nov 2022
People and their relatives told us they had raised complaints and said these had been dealt with. However, the provider confirmed there were no complaint records.
criticalincident_learning30 Nov 2022
Significant shortfalls were identified at this inspection with similar concerns to those found at our previous inspection. These issues had not been identified or addressed.
criticalstaffing_levels30 Nov 2022
Staff were not effectively deployed to meet people's needs. Regulation 18 (1)
criticalleadership30 Nov 2022
The registered manager resigned with immediate effect the day before the inspection. The registered manager had not been in the service on a full-time basis.
criticalgovernance30 Nov 2022
There were no effective quality assurance systems in place. Some medicines audits had been completed, however, these were incomplete or undated or unsigned.