Note7 Jun 2023
Staff spoke positively about management support and regular team meetings reinforcing policies and procedures.
Note7 Jun 2023
Management oversight improved; the provider introduced monthly care record checks, weekly and monthly medicines audits, and staff recruitment record reviews.
Note7 Jun 2023
An electronic monitoring system was implemented to alert management if a medicine had not been recorded as given.
Note7 Jun 2023
Medicines management had improved; staff were trained and competencies regularly checked.
Note7 Jun 2023
Risk management had improved; risks associated with choking, falls and health conditions such as epilepsy were assessed and regularly reviewed.
moderategovernance7 Jun 2023
further time was needed for audits and checks to be fully effective and embedded...audits of medicine administration records had not identified the omissions we found.
moderatemedication_management7 Jun 2023
recording omissions we found on 1 person's medicine record had not been identified by the management team.
moderatecare_planning7 Jun 2023
1 person's choking risk assessment instructed staff how to position the person's head...but did not inform staff what changes to look for.
Note8 Mar 2023
The registered manager was open, honest and receptive to feedback during the inspection.
Note8 Mar 2023
Relatives told us staff followed good infection control practice in their family members' homes.
Note8 Mar 2023
The management team worked with other organisations including social workers and commissioners to achieve good outcomes for people.
Note8 Mar 2023
Staff felt supported and valued by the management team.
Note8 Mar 2023
Staff had received training to protect both adults and children from the risk of abuse.
Note8 Mar 2023
Staff completed training in safe medicines management and their competency to administer medicines had been assessed.
Note8 Mar 2023
Relatives were confident their family members were safe with staff, supported by reliable, regular carers.
Note8 Mar 2023
People received their care calls at the times they expected, for the length of time agreed and from staff they knew.
minorcommunication_with_families8 Mar 2023
Some relatives had not been invited to provide feedback about the service and told us they felt communication with the management team needed to be improved.
moderatestaff_competency8 Mar 2023
A gap in 1 staff member's employment history had not been explored and a second staff member's file did not contain a reference from their last employer.
criticalgovernance8 Mar 2023
Medicines audits had not been completed and audits of people's care records had not identified the concerns we found. This put people at risk of receiving unsafe care.