Note12 Oct 2023
Relatives were sent questionnaires and issues raised were acted upon.
Note12 Oct 2023
Incident learning was reviewed at monthly managers meetings and cascaded to staff.
Note12 Oct 2023
Infection prevention and control measures were effective and policies up to date.
Note12 Oct 2023
Robust recruitment systems and safe interviewing practices were in place.
Note12 Oct 2023
A new registered manager demonstrated understanding of least restrictive and person-centred support.
Note12 Oct 2023
All homes other than one used E-MARs which were reviewed and found to be managing medicines safely.
Note12 Oct 2023
The service was working within the principles of the Mental Capacity Act with appropriate DoLS authorisations.
Note12 Oct 2023
Staff received regular safeguarding training and could explain what to do if someone was at risk.
Note12 Oct 2023
People had comprehensive care and support plans in place.
Note12 Oct 2023
People and relatives reported feeling safe and happy with the support provided.
minorconsent_capacity12 Oct 2023
The provider had not always recorded they had consulted and involved people in decisions, such as choices around healthy eating.
moderaterecord_keeping12 Oct 2023
One home had handwritten Medicine Administration Records (MAR) due to the high level of agency staff who could not access their electronic medicine records (E-MAR) system.
moderategovernance12 Oct 2023
audits had not identified the issues we found on inspection in one home around medicines. There was less oversight of the handwritten records.
moderatestaffing_levels12 Oct 2023
There was a high level of agency staff being used at one home... agency staff were not insured to drive these cars. This led to people not having as high a quality of life.
moderatestaff_competency12 Oct 2023
Agency staff had an introduction to the home via an induction but the service manager had not ensured competency assessment had been completed.
moderatecare_planning12 Oct 2023
People were not always supported safely to reduce their risk of pressure ulcers... There were no risk assessments in place to help manage risks in relation to pressure ulcers.
criticalmedication_management12 Oct 2023
medicine patches were not being administered in line with manufactures instructions to rotate the patch. There was no evidence that staff were checking regularly that the patch was still in place.
criticalmedication_management12 Oct 2023
People's allergies were not recorded on the handwritten MAR sheets. This meant that people could be put at risk of being given medicines they were allergic to.