Note20 Apr 2023
Staff felt valued, supported and part of an inclusive culture.
Note20 Apr 2023
Management were visible, approachable and engaged people, relatives and staff in developing the service.
Note20 Apr 2023
People were supported to have maximum choice and control; staff worked within MCA principles.
Note20 Apr 2023
Registered manager reviewed incidents and shared lessons learned with staff to reduce risk of reoccurrence.
Note20 Apr 2023
Staff completed training on safeguarding, epilepsy, food hygiene and infection control; PPE used effectively.
Note20 Apr 2023
New senior management team recruited since last inspection; relatives and staff spoke positively about improvements in leadership.
Note20 Apr 2023
Governance processes were effective; checks and audits completed regularly with action taken on shortfalls identified.
Note20 Apr 2023
Safe recruitment and induction training processes were followed, including for agency staff; people were involved in interviewing prospective staff.
Note20 Apr 2023
People received their medicines safely and medicines checks were completed each day to address recording errors quickly.
Note20 Apr 2023
Staff provided effective support to identify people's aspirations and goals and promoted people's strengths and independence.
moderategovernance20 Apr 2023
These improvements need to be embedded into day-to-day staff practice.
moderatestaff_competency20 Apr 2023
the management had identified some staff required further coaching and upskilling to ensure people were consistently supported.
moderatecare_planning20 Apr 2023
Further work was needed to upskill staff and embed this across the staff team. Relatives told us the level of support their loved ones received varied depending on which staff were on duty.
moderatemedication_management20 Apr 2023
staff had not always recorded why the medicine had been administered or if it had been effective. Staff had not always contacted a healthcare professional when people were taking PRN medicines regular…
Note8 Oct 2022
Some staff demonstrated genuine commitment to residents' wellbeing, including supporting individuals to pursue personal goals.
Note8 Oct 2022
The new manager had begun re-introducing staff supervision meetings and staff meetings following a two-year gap.
Note8 Oct 2022
Staff wore PPE effectively, carried out regular COVID-19 testing and understood infection prevention and control.
Note8 Oct 2022
The interim CEO identified shortfalls before inspection and was working with multi-disciplinary professionals to drive improvements.
Note8 Oct 2022
People were supported by staff who had been safely recruited, with references, full employment history and DBS checks obtained.
criticalleadership8 Oct 2022
There had not been a registered manager overseeing the service since 2020. The nominated individual was leading the service, and this had not been effective.
moderateperson_centred_care8 Oct 2022
People were not spoken with about the things they would like to do, goals and aspirations or places they would like to go. Staff did not deliver good quality support consistently.
moderaterecord_keeping8 Oct 2022
People's medicines administration records (MAR) were not consistently accurately completed. One person's MAR had no medication signed as administered on 10 May 2022.
moderateincident_learning8 Oct 2022
Accidents and incidents were not consistently monitored and analysed to identify any patterns and trends to make sure any action needed was taken.
moderatesupervision_appraisal8 Oct 2022
The new manager had identified staff training was not up to date and that staff had not had one to one supervision for two years.
moderatestaff_training8 Oct 2022
Only four staff out of 23 had up to date first aid training. Three staff had not completed any first aid training.
criticalcare_planning8 Oct 2022
a person who was living with epilepsy last had their care plan reviewed in June 2019. There was no specific epilepsy plan to guide staff about how the person presented.
criticalgovernance8 Oct 2022
Regular checks and audits of the service had not been completed to ensure people received the support they needed and to monitor the quality and safety of the service.
criticalstaffing_levels8 Oct 2022
The provider did not consistently have enough staff to ensure people were able to have one to one support where they were funded to.
criticalsafeguarding8 Oct 2022
Staff had not recognised the potential signs of financial abuse or that failing to provide people with the right support to manage their medicines constituted neglect.
criticalmedication_management8 Oct 2022
staff failed to collect the person's medicine on time. The person did not have their epilepsy medicine for several days and this resulted in the person having a seizure.