Note26 Oct 2022
Communication needs were assessed and information was available in accessible formats
Note26 Oct 2022
Appropriate recruitment practices with pre-employment checks completed
Note26 Oct 2022
Lessons were learnt from safeguarding incidents and shared across services
Note26 Oct 2022
People were supported to access healthcare services and had hospital passports in place
Note26 Oct 2022
Staff knew people well and interacted with warmth, kindness and respect
Note26 Oct 2022
Staff understood safeguarding and how to recognise and report signs of abuse
Note26 Oct 2022
Medicines were safely administered, managed, stored and audited regularly
minorcommunication_with_families26 Oct 2022
relatives said they could not recall being asked formally for their views about how the service was run.
minorcomplaints_handling26 Oct 2022
one relative said they had complained about poor communication and felt that things had not really improved subsequently.
minorstaffing_levels26 Oct 2022
Two relatives told us they did not think there were always enough staff. One relative said, 'I have found them short staffed.'
moderateleadership26 Oct 2022
the provider's ethos was not evidently based around the 'Right support right care right culture' principles or current best practice
moderaterecord_keeping26 Oct 2022
Accurate records of care were not in place as care plan records, key worker records and records of support did not reflect how people's needs...were met.
moderateinfection_control26 Oct 2022
the stair bannister at one site posed an infection risk due to peeling paint and woodwork and kitchen flooring at one site also required replacement
moderatestaff_competency26 Oct 2022
staff we spoke with were not all confident in its use following the training
moderatestaff_training26 Oct 2022
we found some gaps in refresher training and training for new staff in relation to specific areas such as the administration of some emergency medicines
criticalgovernance26 Oct 2022
The system for monitoring the quality of the service had not identified the issues and breaches of regulations we found at this inspection.
criticalcultural_competency26 Oct 2022
There was no exploration of people's needs in relation to their protected characteristics such as their culture, sexuality or sexual orientation
criticalcare_planning26 Oct 2022
People had individual support plans but these did not always address all their needs...People had no recorded assessed goals or ambitions to work towards.
criticalperson_centred_care26 Oct 2022
people's support needs were often planned on a group basis. For example, in relation to meal planning and activities these were mostly group based.
criticalconsent_capacity26 Oct 2022
The principles of MCA were not consistently followed. Assessments of people's capacity to make specific decisions...had not always been completed