Note15 Jun 2023
Strong partnership working with community health and social care professionals
Note15 Jun 2023
Open and inclusive leadership with good staff morale and reflective incident learning culture
Note15 Jun 2023
Effective governance with audits, risk checks, care plan reviews and medicine record monitoring
Note15 Jun 2023
Person-centred culture with staff treating people as individuals and upholding their rights
Note15 Jun 2023
Sufficient staffing with consistent teams providing continuity of care and one-to-one support
Note15 Jun 2023
Medicines managed safely with competency-assessed staff and STOMP principles implemented
Note11 May 2022
Provider worked closely with local authority, social workers and healthcare professionals
Note11 May 2022
Positive, inclusive culture with good rapport between staff and people
Note11 May 2022
End of life care documents recorded people's preferences and wishes
Note11 May 2022
Communication needs considered in care plans with easy-read and pictorial formats available
Note11 May 2022
MCA and DoLS procedures followed best practice guidance and legislative requirements
Note11 May 2022
Staff received induction, ongoing training, and regular opportunities to discuss development needs
Note11 May 2022
People felt safe and well looked after; staff had been recruited safely
Note11 May 2022
Staff knew how to keep people safe from abuse and were confident raising concerns with external agencies
Note11 May 2022
Staff were motivated to provide person-centred care based on people's choices and preferences
moderateincident_learning11 May 2022
The provider did not gather and use information from the daily running of the service such as care plan reviews to learn and improve the care provided
moderaterecord_keeping11 May 2022
monitoring documentation had not been completed in line with the provider's policies and procedures or identified areas we found on inspection.
moderategovernance11 May 2022
There was an ineffective system for identifying and reporting environmental concerns. For example, some appliances and fixtures were broken
moderategovernance11 May 2022
medication audits did not identify the concerns we found on inspection in regards to recording, storing and returning medicines.
criticalgovernance11 May 2022
An effective system was not consistently operated to monitor the quality and safety of the service.
moderateinfection_control11 May 2022
Cleaning schedules were not in place. The provider did not have any evidence to support additional infection control measures had been implemented