Note30 Nov 2023
Regular staff meetings held to discuss quality and share updates
Note30 Nov 2023
Staff felt well-supported by senior managers and registered manager described as approachable
Note30 Nov 2023
Partnership working with local authority commissioners had improved
Note30 Nov 2023
Adequate PPE available and infection prevention and control training completed by staff
Note30 Nov 2023
Staff demonstrated good understanding of safeguarding procedures and escalation routes
Note30 Nov 2023
Safe recruitment processes in place including DBS checks, right-to-work, employment history and references
Note30 Nov 2023
No recent incidents of missed care visits and people receiving more consistent support from regular staff
Note30 Nov 2023
Sufficient improvement made on risk assessments since last inspection; provider no longer in breach of Regulation 12(1)
minorperson_centred_care30 Nov 2023
The provider had not made necessary improvements based on feedback from people. One person told us, 'I have spoken to the office several times about the timing for my medication.'
moderaterecord_keeping30 Nov 2023
One person's MAR indicated the medicines had been left for the person to take later. However, care notes for these days stated that medicines had been administered by staff.
moderatemedication_management30 Nov 2023
One person was taking an anti-coagulant medicine but the additional risk of bleeding associated with this medicine were not considered.
moderatecare_planning30 Nov 2023
We continued to find conflicting information in care and medicine records which had not been resolved through the providers quality assurance processes.
moderatemissed_or_late_visits30 Nov 2023
ECM showed planned visit times and actual visit times varied up to 2 hours difference for some people's visits.
criticalgovernance30 Nov 2023
The provider failed to assess, monitor and improve the quality and safety of the service effectively. Regulation 17 (1) (2)