Note17 Feb 2023
The quality assurance manager demonstrated a good understanding of the duty of candour.
Note17 Feb 2023
The service worked in partnership with district nurses, social workers, mental health and high intensive teams.
Note17 Feb 2023
Personal emergency evacuation plans were in place with detailed individual support information.
Note17 Feb 2023
Staff received regular supervision and training relating to people's specific health conditions.
Note17 Feb 2023
People felt safe and staff were aware of their safeguarding responsibilities.
Note17 Feb 2023
Appropriate recruitment safety checks including DBS checks and references were carried out.
Note17 Feb 2023
Effective infection prevention and control measures were in place; staff used PPE appropriately.
Note17 Feb 2023
Staff supported people to have maximum choice, control and independence over their own lives.
moderateleadership17 Feb 2023
Quality assurance questionnaires showed people were unaware of who the registered manager was. The provider has obtained a rating of requires improvement 3 times for this key question.
moderatestaff_competency17 Feb 2023
Training records did not provide evidence that the person who carried out these assessments were skilled to do so.
minorcultural_competency17 Feb 2023
There was no evidence managers promoted equality and diversity in all aspects of the running of the service.
moderatestaff_training17 Feb 2023
Staff had not received any training relating to other ethnic groups in relation to skin, hair care or health conditions specific to certain ethnic groups.
moderaterecord_keeping17 Feb 2023
Records showed a number of people did not have an up to date review regarding their care needs and people also raised concerns about this.
moderatecare_planning17 Feb 2023
The care plan did not provide staff with relevant information about the person's health condition, or the importance of suitable and regular meals.
criticalgovernance17 Feb 2023
The provider's governance was ineffective to improve the quality of the service delivery. This is a breach of regulation 17, Good governance.
criticalmedication_management17 Feb 2023
Written protocols for the safe use of 'when required' medicines did not always provide staff with enough information to ensure these medicines were managed safely.