Note11 Aug 2023
Registered manager aware of duty of candour responsibilities and CQC/local authority notification duties.
Note11 Aug 2023
Open, person-centred culture with newsletters and meetings used to share information with people, relatives and staff.
Note11 Aug 2023
Provider worked in partnership with local authority and health and social care professionals.
Note11 Aug 2023
Staff received ongoing training with competency and performance reviewed regularly.
Note11 Aug 2023
New and improved governance systems continually assessed, monitored and reviewed quality and safety.
Note11 Aug 2023
Infection prevention and control best practice followed, including PPE spot checks by management.
Note11 Aug 2023
Accidents and incidents recorded, acted upon and analysed for learning opportunities.
Note11 Aug 2023
Medicines managed and administered safely with staff training and competency assessments in place.
Note11 Aug 2023
Staff recruited safely with DBS checks and references completed before starting work.
Note11 Aug 2023
Risks to people's health and well-being had been assessed and planned for with detailed staff guidance, and no missed calls with minimal late calls.
minorstaffing_levels11 Aug 2023
A small number of staff felt support, communication, and staffing at weekends could be improved upon.
minorgovernance11 Aug 2023
We identified, the analysis was not fully reflective of the feedback received and gave limited useful information to support the service to develop.
Note29 Jul 2022
The service worked in partnership with other professionals, incorporating advice into risk assessments.
Note29 Jul 2022
The registered manager had a good understanding of the duty of candour and had an appropriate policy in place.
Note29 Jul 2022
All staff had undertaken a satisfactory DBS check.
Note29 Jul 2022
Safeguarding issues had been reported to the local safeguarding team and notifications submitted to CQC.
Note29 Jul 2022
Staff understood abuse and had received safeguarding training, and felt confident reporting concerns.
Note29 Jul 2022
People and their relatives told us they felt safe when receiving care.
criticalother29 Jul 2022
Staff were not always recruited safely... not all had two references or full employment histories.
moderatecommunication_with_families29 Jul 2022
There was a lack of systems and processes in place to ensure people were reliably informed about changes to their care workers.
moderateperson_centred_care29 Jul 2022
People did not always receive person centred care... 'I never know when they are coming,' and another said, 'They don't let me know if they are running late, they just turn up.'