Note17 Jan 2023
Complaints received had been investigated and resolved, and there were appropriate systems to gather feedback.
Note17 Jan 2023
The provider's nominated individual had a good understanding of effective supported living care and was developing improvement plans.
Note17 Jan 2023
Recruitment practices were safe, including completed Disclosure and Barring Service checks.
Note17 Jan 2023
Infection prevention and control procedures were appropriate with PPE used in accordance with current guidance.
Note17 Jan 2023
Accidents and incidents were accurately documented, reviewed by managers, and learning shared with staff.
Note17 Jan 2023
Staff training was regularly refreshed and updated, and induction procedures including the Care Certificate were in place.
Note17 Jan 2023
Staffing levels had recently improved with safe staffing levels consistently achieved across all 3 settings.
Note17 Jan 2023
Staff were dedicated, caring and kind, with relatives confirming confidence in people's safety and wellbeing.
minorsupervision_appraisal17 Jan 2023
"I have had supervisions" and "[The new manager] has done supervisions, I had not had one before".
moderaterecord_keeping17 Jan 2023
Handwritten amendments and changes to MAR had not been countersigned to ensure the accuracy of the information transcribed.
moderateperson_centred_care17 Jan 2023
2 of the 3 settings inspected were operating as if they were care homes as opposed to supported living settings...Rolling staff rotas...restricted people freedoms and choices.
moderateleadership17 Jan 2023
"We've had an insane high management turnover", "Management has been a mess" and "There has been a lot of management change, I think I am on my 4th or 5th manager".
moderategovernance17 Jan 2023
The service is required to have a registered manager but there was no registered manager in post at the time of this inspection.
criticalconsent_capacity17 Jan 2023
Where people lacked capacity...restrictions to people's freedoms were in place...this information had not been appropriately reported to the local authority.
criticalconsent_capacity17 Jan 2023
Staff and managers did not fully understand their roles in assessing people's capacity to make specific decisions.
moderatecare_planning17 Jan 2023
People's care plans were incomplete and missing information on how to manage risks, including in relation to mobility needs and specific medical conditions.
criticalmedication_management17 Jan 2023
We found multiple examples in all 3 settings where there were unexplained gaps in MAR charts.
criticalmedication_management17 Jan 2023
Medicine administration records had not been accurately completed and staff had not been provided with clear guidance on the use of 'as required' and emergency medicines.