Note24 Nov 2022
The registered manager worked with specialists and partner agencies to obtain assessments and mitigate risks
Note24 Nov 2022
Medication administration was safely managed with appropriate MAR charts and risk assessments in place
Note24 Nov 2022
Management were visible, approachable and operated an open-door policy; staff felt listened to and valued
Note24 Nov 2022
Staff supported people to eat and drink in line with dietary needs, including working with Speech and Language Therapy
Note24 Nov 2022
Infection prevention and control measures were effective, with PPE, hand sanitiser and temperature checks in place
Note24 Nov 2022
People were supported to maintain links with family and friends, and relatives described homes as warm and welcoming
Note24 Nov 2022
Staff knew people well and could recognise changes in their behaviour, supporting them appropriately
moderatecommunication_with_families24 Nov 2022
Staff did not support people with communication styles appropriate to them. Staff told us they did not use or have any communication tools available to facilitate conversation and decision making.
criticalstaffing_levels24 Nov 2022
The registered manager did not consistently follow a safe recruitment process for staff. DBS checks had not been commissioned by them.
moderateperson_centred_care24 Nov 2022
Staff did not spend time with people to identify their interests and preferences. They did not plan, organise or support them to access a range of activities.
moderatesupervision_appraisal24 Nov 2022
Staff supervisions were held irregularly and the records incomplete. Actions identified for staff were not reviewed in a timely manner.
moderatestaff_training24 Nov 2022
Not all staff members had completed training in the Mental Capacity Act or working with people with learning disabilities, autistic spectrum disorders or mental health.
moderaterecord_keeping24 Nov 2022
The registered manager told us they did not maintain a register to record verbal or written complaints. They did not record lessons learnt and how this had been shared with staff.
criticalgovernance24 Nov 2022
Governance processes were ineffective and failed to ensure accurate records were kept of the quality of care. Audits conducted on the home environment including fire risk assessments had not identifie…
criticalcare_planning24 Nov 2022
Staff did not ensure a comprehensive assessment of each person's social, physical and emotional needs on admission or soon after. People's care plans did not have effective support outcomes.
criticalconsent_capacity24 Nov 2022
The registered manager did not act in accordance with the Mental Capacity Act 2005 where people lacked capacity to make decisions. This was a breach of regulation 11.
criticalsafeguarding24 Nov 2022
some people in the supported living services did not have keys to access their properties and others were required to adhere to a curfew of 10pm or be locked out of the premises.