Note30 Oct 2021
MCA and DoLS processes understood and applied, with Court of Protection applications made where required
Note30 Oct 2021
Staff recruited using person-matching approach involving people and families in the interview process
Note30 Oct 2021
Innovative community engagement including People's Parliament and Quality Checker roles for people using the service
Note30 Oct 2021
Regular audits at monthly and quarterly intervals by multiple levels of management
Note30 Oct 2021
Comprehensive care plans including communication passports, risk assessments and health action plans
Note30 Oct 2021
Robust safeguarding awareness with staff able to describe escalation procedures and referrals made appropriately
Note30 Oct 2021
Safe medicines management with staff trained, observed and signed off as competent before administering
Note30 Oct 2021
People supported to achieve aspirational goals including international holidays and community activities
Note30 Oct 2021
Strong person-centred culture with staff building deep, consistent relationships with people supported
minorgovernance30 Oct 2021
The provider had not asked stakeholders for example GP's and care managers for their feedback, this was an area for improvement.
minorgovernance30 Oct 2021
there were no recorded follow up or date for when the action plan should be completed.
moderatestaffing_levels30 Oct 2021
There were currently not enough staff employed to cover all of the support hours being provided.
Note30 Oct 2021
End of life care planning in place with staff wellbeing support offered for bereavement.
Note30 Oct 2021
Strong partnership working with health professionals including SALT, physiotherapists, dieticians and mental health teams.
Note30 Oct 2021
Staff well supported with regular supervision, annual appraisals, ongoing training and development opportunities.
Note30 Oct 2021
Registered manager fostered open, inclusive culture with forums, questionnaires, open-door sessions and 'monthly matters' events.
Note30 Oct 2021
People involved in recruitment process and matched with staff based on skills, interests and compatibility.
Note30 Oct 2021
Positive risk-taking actively encouraged, supporting people to engage in activities such as zip wires and indoor skydiving.
Note30 Oct 2021
Medicines managed safely with medicines champion introduced, spot checks, monthly audits and competency assessments.
Note30 Oct 2021
Strong safeguarding culture with staff trained to recognise and report abuse and registered manager making referrals as required.
Note30 Oct 2021
Comprehensive person-centred care plans including 'bucket lists' with aspirational goals and detailed communication strategies.
Note30 Oct 2021
People were supported by a consistent core staff team with right skills, knowledge and competencies, using regular agency staff for continuity.
moderateconsent_capacity30 Oct 2021
Some people had restrictive equipment in place to help them remain safe such as lap belts. This was not specified on the documentation although had been discussed and agreed.
moderaterecord_keeping30 Oct 2021
We found a document in one person's care file which contained inaccurate information about how staff should respond to their epilepsy.