Note6 Jul 2023
The provider worked in partnership with local authority and health professionals.
Note6 Jul 2023
Staff spoke positively about management; regular team meetings were held to ensure good communication.
Note6 Jul 2023
The registered manager demonstrated responsiveness to inspection findings, implementing changes immediately including suspending new care packages.
Note6 Jul 2023
Safeguarding and whistleblowing policies were in place; staff and management understood their responsibilities.
Note6 Jul 2023
People felt safe using the service and staff were described as kind, gentle and respectful.
Note6 Jul 2023
Safe recruitment practices were followed, including Disclosure and Barring Service checks before staff began working.
Note6 Jul 2023
Medicines were managed safely with regular competency checks and MAR chart audits; relatives reported no issues with medication administration.
minorinfection_control6 Jul 2023
where staff did not wear PPE, a risk assessment to support this decision had not been completed. The registered manager took immediate action to assess this area during the inspection.
minorcommunication_with_families6 Jul 2023
Relatives however did say communication with the office could be improved
moderateperson_centred_care6 Jul 2023
Risk assessments were generic and not developed to meet the specific needs of people... Care plans were copied and pasted with generic information
moderatestaff_training6 Jul 2023
recommended higher level specialist training had yet to begin. One staff member told us, 'I think we need better training knowing how to respond when the clients are upset'
criticalgovernance6 Jul 2023
There were no audits completed by the provider to monitor and assess the quality of the service and ensure the registered manager had maintained effective oversight.
criticalrecord_keeping6 Jul 2023
daily notes by care staff had been retrospectively entered into people's care record. This included when medicines had been administered.
criticalcare_planning6 Jul 2023
one support plan addressed a different person's PEG management. This did not record how staff would monitor the PEG, the frequency or amount of water to use to flush or how to manage blockage