Note6 Jul 2023
Staff understood and applied principles of the Mental Capacity Act 2005.
Note6 Jul 2023
People's needs were assessed before starting the service and care plans were personalised.
Note6 Jul 2023
Staff liaised with healthcare professionals and other agencies to support people's independence and health.
Note6 Jul 2023
Effective infection prevention and control procedures were in place including PPE use.
Note6 Jul 2023
People's care plans contained up to date risk assessments and management plans.
Note6 Jul 2023
Medicines were generally managed safely and all staff administering medicines had received training and annual competency checks.
Note6 Jul 2023
An electronic call monitoring system was introduced to improve oversight of staff scheduled visits.
Note6 Jul 2023
Improvements had been made to call times and no missed calls were reported at this inspection.
moderaterecord_keeping6 Jul 2023
Information such as accidents, incidents and training information were not always readily available to view on site.
moderateleadership6 Jul 2023
The registered manager was not available for the 2 days we visited their office...The provider failed to submit this action plan.
criticalincident_learning6 Jul 2023
The registered manager lacked awareness of their statutory responsibilities in relation to safeguarding statutory notifications to inform CQC of certain safeguarding incidents.
moderatemedication_management6 Jul 2023
We reviewed MAR charts and found a number of gaps. The registered manager did not ensure these omissions were reviewed appropriately.
moderatesupervision_appraisal6 Jul 2023
We found many supervision forms had been pre-populated and not discussed with the individual staff member.
criticalgovernance6 Jul 2023
Audits completed had not always identified the concerns we found on inspection. There was an overreliance on office staff to complete a number of quality checks.
criticalsafeguarding6 Jul 2023
A staff member not attending a call, falsifying records, and not reporting a person's catheter being removed...had not been reported the local safeguarding team or CQC.