Note26 Apr 2022
People supported to eat a balanced diet and involved in meal planning
Note26 Apr 2022
Relatives given access to the online care plan and recording system
Note26 Apr 2022
Provider met the duty of candour
Note26 Apr 2022
Culture of openness, transparency and honesty reported by relatives, staff and professionals
Note26 Apr 2022
Sufficient staffing levels with one-to-one support as required
Note26 Apr 2022
Safe recruitment practices including pre-employment and DBS checks
Note26 Apr 2022
Effective infection prevention and control measures with appropriate PPE use
Note26 Apr 2022
Low staff turnover providing consistent care from staff who knew people well
moderateleadership26 Apr 2022
the registered manager had not recognised the requirement for applications to the court of protection, mental capacity assessments or best interest decision records.
moderaterecord_keeping26 Apr 2022
staff, the registered manager and company director had documented a person's behaviours and their response to these in an undignified way.
moderateperson_centred_care26 Apr 2022
people's dignity was not always promoted when people displayed behaviours that were normal for them.
moderatemedication_management26 Apr 2022
when people took medicines on an as and when basis (PRN) there were not always protocols to guide staff as to how to recognise when these may be required.
moderatecare_planning26 Apr 2022
The provider had not always ensured that people's care records contained clear guidance for staff about how to support people effectively.
moderateincident_learning26 Apr 2022
There was no formal review of incidents and no actions recorded to demonstrate the provider had done all they could to reduce risks in future.
criticalgovernance26 Apr 2022
The provider had not always ensured there were systems and processes to assess, monitor and improve the quality and safety of the service.
criticalstaff_competency26 Apr 2022
Where staff had not passed the competency assessment at the end of the training course, they continued to support people without supervision.