Note10 May 2023
Registered manager demonstrated proactive communication with partner agencies
Note10 May 2023
Service worked effectively with external professionals including social workers, district nurses and GPs
Note10 May 2023
Infection prevention arrangements in place including PPE supply and staff training
Note10 May 2023
Consistent staffing enabled trusted relationships; relatives confirmed same staff visited regularly
Note10 May 2023
Effective safeguarding processes in place; staff trained and confident in recognising and reporting abuse
Note10 May 2023
Medicines management improved since last inspection; provider no longer in breach of Regulation 12
Note10 May 2023
Relatives spoke positively about care quality and staff conduct, with one noting staff 'have real affection' for their family member
minorincident_learning10 May 2023
an incident when a person's home utilities failed had warranted recording... they recognised this should have been recorded appropriately
minorsupervision_appraisal10 May 2023
staffing records indicated these did not always take place regularly throughout the year
criticalgovernance10 May 2023
checks had failed to identify and address that people's care plans were not always up to date or reflected their current care provisions
criticalrecord_keeping10 May 2023
the registered manager had not made sure other records were maintained as accurate, timely and complete
moderateend_of_life_care10 May 2023
There were not always appropriate end of life care plans in place... the person's care plan did not make reference to this or set out the person's wishes
criticalperson_centred_care10 May 2023
Care plans did not always reflect people's likes, dislikes and preferences for their care and support.
criticalcare_planning10 May 2023
people's care plans were not always up to date, sufficiently personalised or reflective of the care and support people received