Note10 Oct 2023
External health and social care professionals were complimentary about the service's flexibility, communication, and quality of care.
Note10 Oct 2023
Staff praised the registered manager as approachable, hands-on, and supportive; positive team morale and open culture reported.
Note10 Oct 2023
Incident and accident log evidenced lessons learnt shared via team meetings and supervisions.
Note10 Oct 2023
All staff had up-to-date safeguarding and infection control training; PPE use was confirmed by people and relatives.
Note10 Oct 2023
Staff had sufficient travel time between visits and people were consistently supported by the same staff, enabling continuity of care.
Note10 Oct 2023
Risk assessments were clearly written and easy to follow, covering individual conditions, equipment use, and business continuity including COVID-19.
Note10 Oct 2023
Medicines were given safely with individualised PRN guidance and documented MAR records; missed medicine alerts investigated same day.
moderategovernance10 Oct 2023
time was required to show these improvements had been embedded and sustained.
moderategovernance10 Oct 2023
auditing of one person's care records did not identify improvements required.
Note6 Oct 2023
Feedback questionnaires obtained from people and staff following previous inspection.
Note6 Oct 2023
Spot checks on staff practice introduced and recorded with feedback given to staff.
Note6 Oct 2023
Management meetings introduced with agendas and notes, covering CQC report, communication, recruitment and training.
Note6 Oct 2023
Body maps introduced to record accidents and incidents with referrals documented.
Note6 Oct 2023
Environmental risk assessments introduced for people's homes with risk control measures.
Note6 Oct 2023
DBS checks applied for all staff, protecting people from unsuitable workers.
Note6 Oct 2023
Comprehensive and highly detailed risk assessments with step-by-step guidance introduced for all care files.
moderatesupervision_appraisal6 Oct 2023
The registered manager told us they had now delegated out supervision to staff in the management team, where staff will receive supervision on a three monthly basis.
criticalgovernance6 Oct 2023
Not enough timely action had been taken and the provider was still in breach of regulation 19 (Fit and proper persons employed)
moderaterecord_keeping6 Oct 2023
on the 'action required' section of the document, in two care files, further written guidance for staff needed to detail what specific steps would need to be taken
criticalstaffing_levels6 Oct 2023
2 out of 4 staff files looked at did not show a full employment history. There were still gaps in staff's employment history that needed to be obtained.