Note4 May 2023
A new manager was recruited during the inspection and remedial plans were initiated, including a digital care management system and training platform.
Note4 May 2023
Infection control training was provided and PPE was available and used appropriately.
Note4 May 2023
Care plans were detailed and person-centred, supporting personalised care delivery.
Note4 May 2023
Care workers had been safely recruited with robust systems introduced by the new manager for monitoring staff files.
Note4 May 2023
Risks to people's health and safety were assessed and regularly reviewed, with measures to mitigate identified risks.
Note4 May 2023
Medicines were managed safely with appropriate training and competency assessments for staff.
Note4 May 2023
People and relatives praised the kind and caring nature of care workers, with consistent positive feedback about compassion and dignity.
minorconsent_capacity4 May 2023
No training had been provided for care workers to give them an understanding of how to support people when their mental capacity declined.
moderateleadership4 May 2023
The registered manager left the service in December 2022. Since the registered manager had left some care workers had found the lack of leadership was unsettling.
moderateincident_learning4 May 2023
The provider did not have a system in place to identify lessons learned and cascade the learning through the staff team to help improve practice and safety.
moderatemissed_or_late_visits4 May 2023
People, their relatives and care workers told us of staff shortages that had resulted in some people not receiving their scheduled care visits.
moderatestaff_training4 May 2023
Care workers advised they did not receive effective or regular training. One said, 'The only training we ever got was online training which wasn't suitable as it was talking about care homes.'
moderatesupervision_appraisal4 May 2023
We found shortfalls in the staff training provision and staff supervision. This meant the provider could not be assured care workers had the necessary skills.
criticalgovernance4 May 2023
Systems were not used or were ineffective for assessing and monitoring the quality of care, safety and personal needs of people using the service. Breach of regulation 17(1).