Note12 Jan 2024
Business plan and external coaching in place to drive and monitor ongoing service improvements.
Note12 Jan 2024
Registered manager worked openly with local authority, GPs, district nurses and occupational therapists.
Note12 Jan 2024
Infection prevention and control training in place; staff continued wearing masks and using PPE beyond government requirements.
Note12 Jan 2024
Medicines administered safely with MAR records, PRN guidance, staff competency assessments and medicines audits.
Note12 Jan 2024
Staff supported through supervision, spot checks, competency checks and monthly team meetings.
Note12 Jan 2024
People received consistent care from regular staff who knew them well; relatives reported high satisfaction.
Note12 Jan 2024
Comprehensive quality assurance audits with action plans embedded into practice, resolving previous breach of Regulation 17.
Note12 Jan 2024
Safe recruitment processes embedded following previous breach of Regulation 19, with DBS and overseas police checks completed.
minorincident_learning12 Jan 2024
The provider informed us they would re-introduce a monthly analysis of accidents and incidents to strengthen the systems in place.
minorsupervision_appraisal12 Jan 2024
Surveys had not been completed recently by staff. The registered manager explained there was recent discussion with staff about different formats of gathering feedback.
minorrecord_keeping12 Jan 2024
The registered manager had not submitted their annual Provider Information Return (PIR) to CQC.
Note18 Aug 2022
'You said, we did' action plan in place addressing feedback from satisfaction surveys
Note18 Aug 2022
Duty of candour systems were in place and the provider engaged with partner agencies including GPs, district nurses and social workers
Note18 Aug 2022
Person-centred care delivered with families involved and accommodating call time changes
Note18 Aug 2022
Staff always had access to PPE including masks, aprons, gloves and hand sanitiser
Note18 Aug 2022
Staff had received training in infection prevention and control with positive feedback about staff practice
Note18 Aug 2022
People felt safe with the care they received and safeguarding processes were followed when required
Note18 Aug 2022
People and relatives provided positive feedback about the quality, timeliness and consistency of care received
moderateleadership18 Aug 2022
The provider was not prepared or organised to facilitate a CQC inspection. We could not gain access to the office on the first day of the inspection, and on the second day limited information was avai…
minorsupervision_appraisal18 Aug 2022
There was no overall tracker to show when these took place, so the provider could not confirm these occurred at the frequency set out in their policy
moderateincident_learning18 Aug 2022
Regular reviews of accidents and incidents to identify any patterns or themes and identify where lessons could be learned did not take place. This meant opportunities for improvement may be missed.