Note24 Jun 2023
Accidents and incidents were recorded and reviewed to identify patterns.
Note24 Jun 2023
The registered manager worked in partnership with the local authority and healthcare professionals.
Note24 Jun 2023
People were supported to maintain independence and staff worked within MCA principles.
Note24 Jun 2023
People felt involved in their care planning and reported staff were kind, caring and respectful.
Note24 Jun 2023
Staff followed safe infection control practices and had access to adequate PPE.
Note24 Jun 2023
Safe recruitment practices were in place, including full employment history, references, and DBS checks.
Note24 Jun 2023
People were supported by a regular staff team who knew them well, with staff generally arriving on time.
Note24 Jun 2023
People were protected from the risks of abuse by staff trained to recognise signs and report concerns, including to external agencies.
moderatestaff_competency24 Jun 2023
The process to assess staff competency was not consistently robust. The quality of the assessments varied.
moderatestaff_training24 Jun 2023
Staff refresher training was not up to date. The registered manager had recognised this and was taking action address this.
criticalgovernance24 Jun 2023
Checks and audits were not consistently robust. Some of the shortfalls found during the inspection had not been identified by the registered manager and management team.
moderatecare_planning24 Jun 2023
Care plans lacked detail about individual health conditions. For example, signs that could indicate a decline in health.
moderatecare_planning24 Jun 2023
some risk assessments lacked detail. For example, when people had a catheter to drain urine from their bladder, there was no information to alert staff to possible signs of infection.
moderatemedication_management24 Jun 2023
When people needed medicines on an 'as and when' basis (PRN), there were no PRN protocols in place. Staff did not follow the provider's PRN policy.
moderatemedication_management24 Jun 2023
when people were prescribed pain patches, staff did not always record where the patches had been removed from and where they had been replaced. Body maps were not used in line with best practice.