Note1 Jun 2023
People told us staff were kind, caring and treated them with respect; some staff were described as going above and beyond.
Note1 Jun 2023
The provider worked positively with health care professionals, the local authority and social work professionals supporting people with complex needs.
Note1 Jun 2023
Medication policies, procedures and training were in place; staff competency in medicine administration was checked for some staff.
Note1 Jun 2023
Staff were supplied with PPE and had received infection control training; people confirmed PPE was used during personal care.
Note1 Jun 2023
Relevant pre-employment checks including DBS, references and proof of identity were carried out, ensuring safe recruitment.
Note1 Jun 2023
Risk assessments and care planning had improved since the last inspection; the provider was no longer in breach of Regulation 12.
minorcare_planning1 Jun 2023
We recommend the provider considers further work to ensure care plans in relation to people with a diagnosis of epilepsy describe the type, how this presents and intervention guidance.
moderaterecord_keeping1 Jun 2023
No records had been maintained of staff inductions which should include evidence of shadowing opportunities and assessment of staff competency.
moderatecommunication_with_families1 Jun 2023
Several staff, people who used the service and their relatives told us they were not aware of who the manager was as they had not been kept informed.
moderatecomplaints_handling1 Jun 2023
Not all complaints raised with the provider had been recorded.
moderatestaffing_levels1 Jun 2023
People told us they experienced constant changes of care staff. Staff told us the constant change in management had impacted on morale.
moderatemissed_or_late_visits1 Jun 2023
There have been occasions when staff have not turned up. I call my family who have to come and help me.
moderateincident_learning1 Jun 2023
There was no system of management oversight in place to ensure analysis of themes and trends with actions taken to avoid a reoccurrence.
criticalleadership1 Jun 2023
The service had been without a registered manager since February 2021. The provider's oversight and governance of the service continued to be ineffective.
criticalgovernance1 Jun 2023
The lack of governance and oversight continued to place people at risk of harm. This was a continued breach of Regulation 17.
criticalsupervision_appraisal1 Jun 2023
I do not know who the manager is. The communication is poor. There are no staff meetings and I've not ever had a supervision.
criticalstaff_training1 Jun 2023
Staff were not routinely provided with shadow shifts prior to their working with people un-supervised as described in the provider's action plan.
Note27 Jul 2022
Provider committed to immediate corrective action on medication auditing from the day of inspection
Note27 Jul 2022
Communication between people using the service and the office was described as good
Note27 Jul 2022
Staff had access to adequate PPE throughout COVID-19 with monitored stock levels
Note27 Jul 2022
Staff recruitment records were complete with all required regulatory checks in place
Note27 Jul 2022
Staff arrived on time and stayed the expected length of time
Note27 Jul 2022
People felt safe with staff and trusted them in their homes
moderaterecord_keeping27 Jul 2022
MAR that was not completed in sufficient detail to understand how much medicine had been administered and when. Where MAR charts had been handwritten and altered...no information to show who had made…
moderateincident_learning27 Jul 2022
Staff required further clarification to ensure escalation processes were clear to all staff.
criticalsafeguarding27 Jul 2022
We found a potentially serious incident that had not been reported to the office by a carer. This coupled with a previous safeguarding incident that was not reported in a timely way.