Note27 Jul 2022
Provider and registered manager were open to learning and making improvements, responding immediately to inspection feedback
Note27 Jul 2022
Open door policy from managers; staff felt supported and listened to during COVID-19 lockdown
Note27 Jul 2022
Staff wore appropriate PPE and were trained in infection control and COVID-19 practices
Note27 Jul 2022
Staff had received appropriate safeguarding training and understood their responsibilities to report concerns and whistle-blow
Note27 Jul 2022
Staff were kind and provided care which was personalised and responsive to people's needs
Note27 Jul 2022
People were supported by small consistent staff teams who were familiar with their needs
moderateother27 Jul 2022
Staff may be at risk as they did not always have access to information about any risks of lone working and any associated environmental risks
minorcommunication_with_families27 Jul 2022
Some people felt communication could improve if staff were running late.
moderatestaff_competency27 Jul 2022
Records relating to the pre-employments checks that had been completed required some more detail to support the registered managers decision to employ them.
moderateconsent_capacity27 Jul 2022
People's consent to the management of their risks and supports needs had not always been obtained by the provider in line with the principles of the Mental Capacity Act (2005).
moderaterecord_keeping27 Jul 2022
The documentation of medicines and the auditing of these records to ensure the safe management of people's medicines required improvement.
criticalgovernance27 Jul 2022
effective systems had not been established to assess and monitor the service being provided. Complete and contemporaneous records were not always in place
criticalmedication_management27 Jul 2022
Medicines risk assessments were not in place which may put some people at risk of avoidable harm; for example, there was no clear risk assessment in place for people who are at increased risk when tak…
criticalmedication_management27 Jul 2022
people were at risk of not receiving their regular and as required medicines and medicinal creams as prescribed as clear medicine management plans and protocols were not in place
criticalcare_planning27 Jul 2022
Where these protocols identified risk to people, these risks had not always been assessed and appropriate risk management plans were not in place for people who may experience falls, epilepsy, swallow…