Note12 Jul 2023
Staff engaged positively with healthcare professionals, who described the service as accessible out of hours.
Note12 Jul 2023
The registered manager was aware of their responsibilities under the duty of candour.
Note12 Jul 2023
People and relatives gave largely positive feedback about care staff, describing them as 'like part of the family'.
Note12 Jul 2023
Infection control measures were in place; staff wore PPE and management carried out spot checks.
Note12 Jul 2023
Staff worked effectively with other healthcare professionals and people were referred to specialist services in a timely manner.
Note12 Jul 2023
There were enough employed staff to keep people safe, with training including specialist areas such as catheter care.
Note12 Jul 2023
People were safe from the risk of abuse; safeguarding incidents were recorded, reported and investigated appropriately.
moderateperson_centred_care12 Jul 2023
People's equality characteristics were included in some care plans but not all. There was limited person-centred information in care plans.
minorrecord_keeping12 Jul 2023
Some records did not include the dates of previous employment for staff. We could not be assured that references were obtained from the most recent employers.
moderateincident_learning12 Jul 2023
It was not always clear what action was taken following an incident to help ensure similar issues did not occur again.
criticalgovernance12 Jul 2023
The failure to have robust quality assurance processes in place is a breach of Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
criticalcare_planning12 Jul 2023
Two people required a hoist to move to and from bed. There was no risk assessment in place for this. This meant people were at risk of being moved incorrectly.
moderatemedication_management12 Jul 2023
Records for 'as and when required' medicines were lacking detail. This meant people were at risk of not receiving their 'when required' medicines appropriately.
criticalmedication_management12 Jul 2023
Some people were routinely receiving doses of medicines too close together. This meant people were at risk of harm from a medicines overdose.
Note30 Nov 2022
Safe recruitment practices including DBS and reference checks
Note30 Nov 2022
People and relatives were involved in care reviews and initial assessments
Note30 Nov 2022
People had holistic assessments covering physical, emotional and social needs
Note30 Nov 2022
Staff received regular supervisions and could seek support at any time
Note30 Nov 2022
New staff received an in-depth induction and ongoing training and support
Note30 Nov 2022
Staff received training in medicine administration with competency assessments
Note30 Nov 2022
Medicines managed safely with regular checks by the registered manager and office team