Note28 Jun 2022
People said it was easy to get in touch with the office to speak to someone
Note28 Jun 2022
Safeguarding, accidents and other incidents involving people using the service were properly recorded and investigated
Note28 Jun 2022
Care staff recruited by the manager had been recruited safely with appropriate pre-employment checks
Note28 Jun 2022
People reported feeling safe and well looked after by staff
Note28 Jun 2022
People and relatives said staff were kind, caring, supportive and patient
criticalother28 Jun 2022
The provider had failed to notify CQC of the local authority investigation into the recruitment and safeguarding concerns... did not demonstrate they had a clear understanding of their duty of candour…
moderatecommunication_with_families28 Jun 2022
there was however little evidence that any regular care reviews took place to ensure people's care continued to meet their needs
minorstaffing_levels28 Jun 2022
the manager told us the service was currently experiencing staff shortages. A recruitment drive was underway.
moderateinfection_control28 Jun 2022
the frequency of staff testing did not comply with government guidance, in place at the time of the inspection.
criticalsafeguarding28 Jun 2022
the provider had failed to ensure appropriate checks on the suitability of this person had been undertaken prior to appointment. This placed people at unnecessary risk.
criticalleadership28 Jun 2022
There was little evidence that the provider had oversight of the service... neither the manager or provider of the service were able to explain the failings of the service.
criticalgovernance28 Jun 2022
The governance arrangements in place to audit the quality and safety of the service were not sufficient. The systems in place were poor and ineffective.
criticalrecord_keeping28 Jun 2022
Records relating to the length of time staff spent providing support to people, were also not accurate... visit records showed visits lasted less than 5 minutes.
moderatemissed_or_late_visits28 Jun 2022
People's visits times did not always correspond with the visit times they had agreed with the service. Visits were sometimes much later or earlier than agreed.
criticalcare_planning28 Jun 2022
People's needs and risks had not been adequately assessed and care plans had not been updated appropriately, when people's needs and visit preferences had changed.
criticalmedication_management28 Jun 2022
One person's medicines were secondary dispensed... This practice was not risk assessed and there were no written procedures for staff to follow to mitigate possible risks.
criticalmedication_management28 Jun 2022
The management of medicines was not always safe. The systems in place to mitigate risks with the administration of medication were not robust.