Note18 Apr 2024
Staff were aware of their roles and responsibilities and reported feeling supported by the provider.
Note18 Apr 2024
The service worked closely with the Local Authority and healthcare professionals.
Note18 Apr 2024
Customer satisfaction surveys showed all areas marked as 'good' or 'outstanding' by people using the service.
Note18 Apr 2024
Staff had access to adequate PPE supplies and were undertaking COVID-19 testing in line with government guidance.
Note18 Apr 2024
Risks to people were assessed, recorded and managed to enable people to live in their own homes safely.
Note18 Apr 2024
Staff understood safeguarding responsibilities and knew how to escalate concerns to the registered manager and external agencies.
Note18 Apr 2024
People confirmed they had not experienced any missed calls and felt safe with staff visits.
moderateinfection_control18 Apr 2024
We were not assured all members of staff employed at the service had received appropriate training relating to infection, prevention and control, COVID-19 or 'donning' and 'doffing' training.
moderateconsent_capacity18 Apr 2024
Where restrictions were in place, the reason for the restriction was not recorded to evidence these had been agreed as part of 'best interest' procedures.
criticalincident_learning18 Apr 2024
There was no analysis, follow up, or investigation to identify the potential causes of injuries sustained by people using the service. For example, unexplained bruises identified on body maps.
moderatesupervision_appraisal18 Apr 2024
Not all newly appointed staff had received supervision or 'spot visit' checks... One member of staff told us they had not received any supervisions or spot visit checks since commencing in post in Dec…
criticalgovernance18 Apr 2024
Quality assurance and governance arrangements in place were not effective in identifying shortfalls in the service or making the required improvements.
criticalsafeguarding18 Apr 2024
No Disclosure and Barring Service [DBS] checks were completed for these staff... A risk assessment was not completed or considered to assess and manage the risks.
criticalstaff_competency18 Apr 2024
Recruitment practices remained unsafe and lessons had not been learned to make the required improvements. No recruitment files were available for three members of staff.
criticalstaff_training18 Apr 2024
No records of induction available for eight members of staff. There was no evidence of training for four members of staff.
criticalrecord_keeping18 Apr 2024
Unexplained gaps on the MAR forms for two people, giving no indication of whether they had received their medicines or not, and if not, the reason why was not recorded.
criticalmedication_management18 Apr 2024
MAR forms for two people recorded one member of staff had administered two people's medicines on 12 occasions but they were not appropriately trained.
criticalmedication_management18 Apr 2024
Not all staff who administered people's medication had received training or had their competency assessed through direct observation to ensure their practice was safe.
Note2 Sept 2023
Staff felt valued, supported, and able to raise concerns openly
Note2 Sept 2023
Registered manager engaged external consultancy to support ongoing improvement
Note2 Sept 2023
Service exited Special Measures following sustained improvements
Note2 Sept 2023
Recruitment practices improved; provider no longer in breach of Regulation 12
Note2 Sept 2023
Governance improved from Inadequate to Good; provider no longer in breach of Regulation 17
Note2 Sept 2023
Staff received formal supervision, spot visits, and appraisals since last inspection
Note2 Sept 2023
Medication audits completed regularly with no corrective actions required
Note2 Sept 2023
People and relatives consistently praised staff caring attitudes and continuity of care
Note2 Sept 2023
No missed or late calls recorded since introduction of electronic call monitoring system; relatives confirmed accuracy
minorcare_planning2 Sept 2023
The registered manager should consider assessing people's environmental risks.
minorgovernance2 Sept 2023
Improvements were needed to make sure completed audits were less generalised and more focused on individuals who used the service and staff.