Note3 Jun 2023
Service worked within principles of the MCA and staff obtained consent before providing care.
Note3 Jun 2023
Registered manager was approachable, transparent during inspection, and acknowledged areas for improvement.
Note3 Jun 2023
Care plans included personalised information about likes, dislikes, preferences, and communication needs.
Note3 Jun 2023
Staff wore appropriate PPE and had received infection prevention and control training.
Note3 Jun 2023
Staff received medicines training; families were satisfied with medicines support; GPs contacted appropriately for repeated refusals.
Note3 Jun 2023
Families spoke positively about staff being caring, respectful of dignity, privacy, and cultural needs.
Note3 Jun 2023
People were supported by a consistent small staff team ensuring continuity of care.
minorconsent_capacity3 Jun 2023
Some staff were not clear in their knowledge of the MCA despite having completed training.
criticalother3 Jun 2023
Statutory notifications had not been sent to us as required. This is information about important events such as police contact which the provider is required to send to us by law.
moderaterecord_keeping3 Jun 2023
Daily records staff completed did not reflect the times staff arrived or times when specific care was provided to people to demonstrate this was in accordance with expectations.
moderatesafeguarding3 Jun 2023
There was a system to support the service in managing abuse to safeguard people but there was no central record of safeguarding concerns.
moderateincident_learning3 Jun 2023
During our last inspection it was identified that recruitment records were not sufficiently robust. This continued to be the case. Lessons had not been learnt.
criticalgovernance3 Jun 2023
Systems to monitor the quality and safety of the service did not ensure all aspects of the service were checked to drive improvement.
criticalstaffing_levels3 Jun 2023
Staff who had transferred into the service did not have completed references and a Disclosure and Barring Service (DBS) check in place before they started work.
criticalcare_planning3 Jun 2023
Risks were not always fully assessed to ensure people and staff were kept safe from harm. This included some risks associated with behaviours which had resulted in injuries to people.