Note29 Jun 2023
No evidence found of inappropriate restraint or financial mismanagement, the concerns that prompted the inspection.
Note29 Jun 2023
Positive organisational culture with staff reporting strong support from management and pride in outcomes for people.
Note29 Jun 2023
The provider worked in partnership with external professionals, local mental health teams, and focus groups to improve care.
Note29 Jun 2023
Quality audits and checks were undertaken, with statutory notifications submitted as required.
Note29 Jun 2023
Staff spoke confidently about safeguarding, their roles, and supported people in a person-centred and respectful manner.
Note29 Jun 2023
Staff were safely recruited with relevant DBS and employer checks completed.
Note29 Jun 2023
Medicines were managed safely, with regular audits, trained staff, and person-centred approaches including awareness of STOMP.
Note29 Jun 2023
Risks to people were assessed and individual risk assessments, emergency plans and care plans were in place to mitigate harm.
minorperson_centred_care29 Jun 2023
Relatives told us they had not been asked to provide feedback about the service.
minorcare_planning29 Jun 2023
Although the information in the care plan was the same as the SALT plan, transcribing information increases the risk of an error.
moderaterecord_keeping29 Jun 2023
The provider had experienced technical issues regarding one person's financial records, causing the records to be lost.
moderatestaffing_levels29 Jun 2023
Unfortunately, [the service] are still using agency staff to the detriment of my son's mental health; he doesn't like new faces. It makes him anxious, agitated and likely to self-harm.
moderatecommunication_with_families29 Jun 2023
Communication is not good... Sometimes there is no reply, or they are late getting back to you. You seem to be constantly chasing for things from them.
Note29 Jun 2023
Service worked in partnership with a wide range of health and social care professionals to support people's needs.
Note29 Jun 2023
Effective quality monitoring systems including weekly, monthly and quarterly audits and monthly governance meetings.
Note29 Jun 2023
Strong person-centred outcomes evidenced including reduced incidents, medicines reduction and increased independence.
Note29 Jun 2023
Positive culture promoted by registered manager with open-door approach, responsive to staff surveys and development of action plans.
Note29 Jun 2023
Staff received comprehensive induction, ongoing training including specialist courses (e.g. British Sign Language), and shadow shifts.
Note29 Jun 2023
Care plans were detailed, person-centred and included communication profiles, social histories and individual risk assessments.
Note29 Jun 2023
Medicines were managed and administered safely with annual competency assessments and electronic MAR systems.
Note29 Jun 2023
People felt safe and staff demonstrated effective safeguarding knowledge and reporting practices.
minorcommunication_with_families29 Jun 2023
We received mixed feedback from relatives and staff regarding the leadership of the service and communication.
minorconsent_capacity29 Jun 2023
The care plan did not clearly demonstrate that restrictions were regularly reviewed and the person continued to agree with them.
minorcare_planning29 Jun 2023
Staff told us care plans weren't always reviewed and updated. The registered manager had identified this and there was an action plan in place.
moderatesupervision_appraisal29 Jun 2023
It's been a while since I have had supervision, support is available", and "Supervision is basic and often hurried."
moderatestaffing_levels29 Jun 2023
We do need more staff, it's across the sector. Shifts do get covered; we use agency the same ones where we can.