Note12 Aug 2023
Statutory notifications were submitted to CQC as required by law.
Note12 Aug 2023
The manager was engaged, open and transparent throughout the inspection.
Note12 Aug 2023
Staff liaised with healthcare professionals to coordinate better care.
Note12 Aug 2023
Relatives were kept up to date on changes in people's needs, incidents and accidents.
Note12 Aug 2023
Staff wore appropriate PPE and received infection prevention and control training.
Note12 Aug 2023
Staff received safeguarding training and were confident raising concerns internally and externally.
Note12 Aug 2023
Staff were described as kind, caring and lovely by people and relatives.
minorcommunication_with_families12 Aug 2023
One person said, 'I feel there is a lack of organisation and communication between the office, manager, the care staff and me.'
moderatesupervision_appraisal12 Aug 2023
Not all staff had received a spot check to check if staff were working in a safe, person-centred way or if they were following policies and procedures.
moderateconsent_capacity12 Aug 2023
The manager had not identified when a relative who did not have the legal power to do so was signing consent for people.
criticalstaff_competency12 Aug 2023
We found no references had been sought for 1 staff member who was working with people... Another staff member had not had an updated DBS check.
minorstaffing_levels12 Aug 2023
Staff do not always turn up on time due to not having enough travel time between visits.
criticalgovernance12 Aug 2023
Audits had not been completed regularly and had not identified the issues we found with missing or incorrect information in care planning documents.
moderatemedication_management12 Aug 2023
When people had 'as required' (PRN) medicine prescribed, there were no PRN protocols in place to advise staff on when the medicine should be administered.
criticalstaff_training12 Aug 2023
Staff did not have training on supporting people living with dementia or diabetes, and some staff had not completed their training before supporting people.
moderateincident_learning12 Aug 2023
Incidents and accidents recorded did not always have an investigation completed to identify any risks, trends or patterns.
moderaterecord_keeping12 Aug 2023
Records of injuries were not fully recorded. We found no information recorded regarding position, size, colour or shape of injury.
criticalsafeguarding12 Aug 2023
Records evidenced that one person had told staff of a potential safeguarding concern. Managers had not informed the local safeguarding team.
criticalcare_planning12 Aug 2023
Risks had not always been assessed or mitigating strategies implemented. In all 3 people's care records we reviewed we found risks surrounding people's health conditions and medicines had not been ful…