Note30 Oct 2021
Accidents and incidents recorded and analysed to prevent recurrence
Note30 Oct 2021
Effective complaints procedure in place with no complaints received since last inspection
Note30 Oct 2021
Robust safer recruitment checks including enhanced DBS, identity verification and two written references
Note30 Oct 2021
Monthly staff spot checks and round visits carried out and documented by management
Note30 Oct 2021
Quarterly reviews with people and relatives to assess and monitor changing needs
Note30 Oct 2021
Care plans were individualised and included mental capacity, consent, health needs, likes and dislikes
Note30 Oct 2021
Regular supervision sessions and annual appraisals were in place for all staff
Note30 Oct 2021
Staff received relevant training including moving and handling, safeguarding, dementia awareness, first aid and health and safety
Note30 Oct 2021
People and relatives expressed high satisfaction with care quality and consistency of care workers
minorrecord_keeping30 Oct 2021
we did not see evidence that the service analysed the information obtained from satisfaction surveys. The provider explained that they reviewed the satisfaction surveys but this was not documented.
moderatesafeguarding30 Oct 2021
the majority of staff we spoke with failed to explain that they could report their concerns to local authority or the CQC
criticalmedication_management30 Oct 2021
there were gaps in some of the MARs we viewed...The service did not have an effective medicine audit in place.
criticalcare_planning30 Oct 2021
some areas of potential risks to people had not been identified and included in the risk assessments. This could result in people receiving unsafe care
Note30 Oct 2021
The service did not provide visits of less than two hours, supporting unhurried, person-centred care.
Note30 Oct 2021
Staff spoke positively about management, describing an open, transparent and supportive culture.
Note30 Oct 2021
A comprehensive quality assurance system including monthly audits, spot checks, round visits and satisfaction surveys was in place.
Note30 Oct 2021
Care plans were person-centred, detailed and regularly reviewed with the involvement of people and relatives.
Note30 Oct 2021
Staff received regular supervision, spot checks, annual appraisals and a broad training programme including the Care Certificate.
Note30 Oct 2021
Robust safer recruitment processes including enhanced DBS checks, identity verification and written references.
Note30 Oct 2021
People experienced consistency of care staff and had no concerns about punctuality or attendance.
Note30 Oct 2021
Medicines administration records were fully completed with no gaps, and a monthly auditing system was in place.
Note30 Oct 2021
Comprehensive and personalised risk assessments were in place, reviewed and updated when people's conditions changed.
Note30 Oct 2021
People and relatives consistently reported feeling safe and satisfied with the care provided, with no complaints raised since the last inspection.
Note29 Jan 2020
Service demonstrated sufficient action to meet Regulation 12 of the Health and Social Care Act 2008
Note29 Jan 2020
Care plans now include clear instructions for completing MARs
Note29 Jan 2020
Monthly medicines audit introduced since previous inspection to assess and monitor medicines management
Note29 Jan 2020
MARs completed with no unexplained gaps following refresher training for all care support staff
Note29 Jan 2020
Risk assessments reviewed and improved to include comprehensive detail about people's home environment and overall health
criticalcare_planning29 Jan 2020
some risk assessments contained limited information and some areas of potential risks to people had not been identified and included