Note2 Feb 2023
Staff were knowledgeable about how to raise safeguarding concerns.
Note2 Feb 2023
Some relatives reported feeling their family member was safe and that managers were visible and approachable.
Note2 Feb 2023
The provider had an internal therapy team including occupational therapy and speech and language available to people.
Note2 Feb 2023
People were supported by staff who had completed a recruitment selection process including pre-employment checks, references and DBS checks.
Note2 Feb 2023
Staff spoke compassionately about the people they supported and were observed as kind and patient when providing support.
moderateleadership2 Feb 2023
The management team had not recognised support practices did not promote person-centred, open and empowering care...We found staff using parts of people's kitchens for their own property.
moderaterecord_keeping2 Feb 2023
People's care records were not always updated in a timely manner when changes were made by healthcare professionals.
moderateinfection_control2 Feb 2023
We observed staff not following government guidance when using personal protective equipment (PPE)...staff were deployed across all of the supported living services and did not cohort staff teams.
moderatecommunication_with_families2 Feb 2023
There is a serious problem with management. They don't communicate and they are short staffed.
moderateconsent_capacity2 Feb 2023
We found example of where staff did not look at the least restrictive practice. There was a lack of consideration in protecting and promoting people's rights.
moderateincident_learning2 Feb 2023
There was a lack of shared lessons learnt with the whole team...the registered manager gathered information relating to accident and incidents, however, did not effectively look at the overall trends…
moderatesupervision_appraisal2 Feb 2023
Staff supervision records were not consistent, and staff felt there needed to be more team meetings. I have not been asked once in the last 6 months how are you doing by my bungalow manager.
moderatestaff_training2 Feb 2023
People did not always receive support from staff who had the relevant training, including around learning disability, autism, mental health needs and human rights.
criticalgovernance2 Feb 2023
The provider and registered manager did not have a robust quality assurance system in place...the management team did not have clear oversight that these were actioned.
criticalperson_centred_care2 Feb 2023
The service provided 'blanket rules' which resulted in inappropriately restricting people's choice and control. For example, the service locked bathroom doors so they could not be accessed freely.
criticalstaffing_levels2 Feb 2023
Due to staff changes a staff member was on their own...a person put their hand on the hob of the oven. This person's risk assessment indicated they should have one to one support.
criticalcare_planning2 Feb 2023
People's risk assessments were not clear or coordinated with the information stated in the care plans...someone had been identified with a choking risk, this was not clear in the care plan or risk ass…