Note29 Jan 2020
Open and honest culture with no blame; staff and management freely shared access to records during inspection
Note29 Jan 2020
Regular quality audits conducted aligned to CQC domains; latest audit rated service at 95.7%
Note29 Jan 2020
Accidents and incidents investigated with learning shared across all services via 'serious incident learning' notices
Note29 Jan 2020
Complaints handled compassionately and in a timely manner; people confident concerns would be acted upon
Note29 Jan 2020
People's dignity, privacy, and independence were actively promoted by staff
Note29 Jan 2020
Care plans were personalised, detailed, and reflected individual preferences, histories, and choices
Note29 Jan 2020
Staff demonstrated good understanding and application of the Mental Capacity Act 2005 principles
Note29 Jan 2020
Staff received regular supervision, appraisals, and observation of care practice with feedback to support development
Note29 Jan 2020
People received medicines as prescribed; staff trained and competency regularly checked; no medicine errors during 2016
Note29 Jan 2020
Safe and robust recruitment processes including DBS checks and employment references completed before unsupervised work
Note29 Jan 2020
Sufficient staffing levels consistently maintained, with staff not rushed and able to spend social time with people
Note29 Jan 2020
People felt safe and staff demonstrated clear understanding of safeguarding responsibilities and reporting pathways
Note11 Dec 2018
Whistleblowing policy in place and known to staff
Note11 Dec 2018
Manager conducted audits of care plans, risk assessments and medication, driving continuous improvement
Note11 Dec 2018
Service responsive to changing needs, e.g. referrals to GP and occupational therapist for mobility
Note11 Dec 2018
Staff treated people with dignity, respect and genuine affection
Note11 Dec 2018
Person-centred care plans with regular reviews involving people in their own care
Note11 Dec 2018
People supported in line with Mental Capacity Act 2005 principles
Note11 Dec 2018
Sufficient staffing levels confirmed by rotas and people using the service
Note11 Dec 2018
Safe recruitment processes including DBS checks before staff worked alone
Note11 Dec 2018
Medicines managed safely with fully and accurately completed MAR records
Note11 Dec 2018
Staff trained in safeguarding and understood responsibilities to identify and report concerns
minorrecord_keeping11 Dec 2018
A recent audit of medication charts identified shortfalls in recording. The manager raised this with staff at a team meeting and as a result the standard of recording improved.
minorgovernance11 Dec 2018
There was a not registered manager in post. The registered manager had recently left and a new manager had been appointed and was going through the registration process.