Note15 Dec 2023
MCA principles were understood and applied; best interest decisions were made with involvement of relevant people.
Note15 Dec 2023
The registered manager was responsive, approachable and took immediate corrective action when issues were raised at inspection.
Note15 Dec 2023
People and relatives gave consistently high feedback about the caring, compassionate and skilled staff.
Note15 Dec 2023
Infection prevention and control best practice was followed, including appropriate use of PPE.
Note15 Dec 2023
Medicines were managed safely with care plans, risk assessments, staff training and competency checks in place.
Note15 Dec 2023
People received care from a consistent staff team and calls were generally on time; staff stayed for the duration of the call.
Note15 Dec 2023
Risks to people's health, safety and well-being had been assessed, planned for and monitored by knowledgeable staff.
Note15 Dec 2023
People were protected from abuse; staff had received safeguarding training and knew how to recognise and report concerns.
moderateleadership15 Dec 2023
it demonstrated a lack of recorded evidence of oversight and leadership by the provider.
minorrecord_keeping15 Dec 2023
guidance for staff about people's health conditions and how this impacted their daily care and support was limited.
minorincident_learning15 Dec 2023
whilst incidents were minimal, there was no analysis completed that provided oversight of lessons learnt, themes or patterns.
moderatestaff_training15 Dec 2023
Staff training records identified gaps in mandatory training in learning disability and autism awareness, this is a legal requirement for all staff of registered services to complete.
moderatesupervision_appraisal15 Dec 2023
There had been no staff meetings since 2022. Staff received 6 monthly supervision meetings to discuss their work, training and development needs.
moderategovernance15 Dec 2023
the nominated individual told us whilst they...accessed daily the electronic systems...they did not record details of these checks, such as frequency, outcome, and actions.