Note20 May 2022
Service engaged with health and social care professionals, including arranging paramedic support for falls
Note20 May 2022
People's privacy was respected and dignity maintained
Note20 May 2022
Relatives felt listened to by the provider and registered manager
Note20 May 2022
Staff felt supported by management with an open-door policy
Note20 May 2022
Relatives reported staff always wore PPE and there was a regular team of carers
Note20 May 2022
All staff had completed safeguarding training and had a good understanding of how to keep people safe
minorcomplaints_handling20 May 2022
An analysis of the information gathered was produced and highlighted some concerns with staff accents and communication. This concern was due to be followed up at the next team meeting, however this d…
moderatemissed_or_late_visits20 May 2022
information that we received highlighted several missed and unassigned visits... there was no recorded analysis of this information. This meant there was a possibility people weren't receiving planned…
moderateother20 May 2022
The provider had not ensured safe recruitment practices were being followed. We looked at two recruitment records. For one of the applicants, references had not been certified
moderateinfection_control20 May 2022
we were not assured all staff were following this policy regarding COVID-19 testing for staff. Staff are required to self-test twice weekly; the provider was unable to provide evidence of this.
moderateincident_learning20 May 2022
incidents and accidents had not been formally recorded or notified to the appropriate organisation even though the provider had confirmed a system was in place.
moderatestaff_training20 May 2022
Staff we spoke with had very little understanding of PRN (as and when required medicines) protocols.
moderaterecord_keeping20 May 2022
MARs were not always being completed by staff following the administration of medicines
criticalgovernance20 May 2022
The provider had failed to establish systems and processes to assess and improve the quality and safety of the service provided.
moderatecare_planning20 May 2022
documentation for somebody diagnosed with type 2 diabetes had a risk assessment in place. However, it did not provide any information relating to signs staff should look out for
criticalmedication_management20 May 2022
Care staff made us aware of two incidents relating to no medicines in the home for a period of up to three and five days respectively.
criticalmedication_management20 May 2022
people who needed to have their medicines administered directly through a Percutaneous Endoscopic Gastronomy (PEG), there were no robust clinical protocols in place
criticalmedication_management20 May 2022
Medication administration records (MARs) were written by the service. However, the information recorded was not sufficient to ensure the possible risks with administration were mitigated.