Note25 Jan 2023
Effective partnership working maintained with health and social care professionals.
Note25 Jan 2023
The manager demonstrated understanding of duty of candour and maintained an open and honest approach.
Note25 Jan 2023
Staff medicine training and competency assessments were in place.
Note25 Jan 2023
The registered manager took immediate action following inspection feedback on paracetamol administration risk.
Note25 Jan 2023
PPE was available and correctly used by staff, confirmed by people using the service.
Note25 Jan 2023
People and relatives were positive about care staff, describing them as friendly, kind, polite and respectful.
Note25 Jan 2023
Staff had completed safeguarding training and demonstrated understanding of how and when to raise concerns.
Note25 Jan 2023
Risk assessments had been reviewed and rewritten since last inspection, with detailed information on support required to keep people safe.
minorcommunication_with_families25 Jan 2023
Can't say I hear from the office and I haven't had any requests for feedback about the company or the care.
moderaterecord_keeping25 Jan 2023
we have found several gaps in the recording of the daily notes for one person.
moderategovernance25 Jan 2023
provider's audits had not identified the concerns we found in relation to medicines and recruitment.
criticalstaff_competency25 Jan 2023
Safe procedures were not followed when new staff were recruited to ensure they were safe to provide care to people.
criticalmedication_management25 Jan 2023
"As required" time sensitive medicines, such as pain relief, were not always administered with the required minimum time gap in between administration.
criticalrecord_keeping25 Jan 2023
People's medicines records were not always accurate, complete and contemporaneous. While this placed people at risk of harm.
criticalgovernance25 Jan 2023
quality assurance and monitoring systems were not fully embedded and were not fully effective at addressing the shortfalls we identified on inspection.
Note26 Aug 2022
Registered manager maintained good working relationships with partner agencies including commissioners, GPs and health and social care professionals
Note26 Aug 2022
Staff received medicine training and competency assessments
Note26 Aug 2022
Environmental risks were assessed and lone-worker safety measures were in place
Note26 Aug 2022
Supplies of PPE were available to all care staff and staff knew how to use it correctly and safely
Note26 Aug 2022
Staff had completed safeguarding training and demonstrated good understanding of how and when to raise safeguarding concerns
Note26 Aug 2022
People were supported by a consistent staffing team that knew them well
moderateleadership26 Aug 2022
it was evident that the staff relied heavily on the registered manager for day to day support. The registered manager talked to us about the time constraints and volume of work in their job role.
moderateincident_learning26 Aug 2022
the service did not have an improvement plan in place to evidence actions taken to improve the quality of the service.
moderatecommunication_with_families26 Aug 2022
The provider did not collect feedback from people who used the service and their relatives. This meant that people's views were not sought to evaluate and improve the service.