Note23 May 2023
Strong feedback from people, relatives, and healthcare professionals praising care quality and responsiveness.
Note23 May 2023
Registered manager working with external coach and business plan to drive continuous improvement.
Note23 May 2023
Positive staff culture with regular supervision, spot checks, and monthly team meetings.
Note23 May 2023
Person-centred care with staff knowing people well, including recruiting staff with specific communication skills.
Note23 May 2023
Quality assurance audits with action plans embedded into practice, improving management oversight.
Note23 May 2023
Medicines administered safely with accurate MAR records, competency assessments, and quality audits.
Note23 May 2023
Strong safeguarding culture with staff training, referral processes, and lessons learned discussed in team meetings.
Note23 May 2023
Effective electronic rota and care planning systems providing clear guidance to staff for safe support.
Note23 May 2023
Safe recruitment processes embedded following previous breach of Regulation 19, with robust DBS and overseas police checks.
minorsupervision_appraisal23 May 2023
Surveys had not been completed recently by staff. The registered manager explained there was recent discussion with staff about different formats of gathering feedback.
minorincident_learning23 May 2023
The provider informed us they would re-introduce a monthly analysis of accidents and incidents to strengthen the systems in place.
minorgovernance23 May 2023
The registered manager had not submitted their annual Provider Information Return (PIR) to CQC.
Note18 Aug 2022
Duty of candour systems in place and displayed
Note18 Aug 2022
Satisfaction surveys and 'You said, we did' action plan in place
Note18 Aug 2022
Engagement with partner agencies including GPs, district nurses and social workers
Note18 Aug 2022
Staff knowledgeable about identifying and reporting abuse and whistleblowing
Note18 Aug 2022
People felt safe and safeguarding processes were followed when required
Note18 Aug 2022
Staff trained in infection prevention and control with positive feedback on PPE practice
Note18 Aug 2022
Positive feedback from people and relatives about the timeliness, consistency and quality of care
moderateleadership18 Aug 2022
The provider was not prepared or organised to facilitate a CQC inspection. Gaining access to the necessary information to complete the inspection was difficult.
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.