Note7 Aug 2021
The registered manager understood duty of candour responsibilities and was open and transparent during inspection.
Note7 Aug 2021
Staff supported people to access healthcare appointments and specialist services including physiotherapists and falls team.
Note7 Aug 2021
People and relatives were involved in the care planning process and signed documents to evidence agreement.
Note7 Aug 2021
Incidents and accidents were recorded and audited by the registered manager for trends and patterns.
Note7 Aug 2021
Staff were regularly tested for COVID-19 and had sufficient PPE with infection prevention and control training.
Note7 Aug 2021
People were protected from abuse; staff understood safeguarding procedures and knew signs of abuse.
Note7 Aug 2021
Staff were recruited safely with necessary checks including references and DBS completed.
moderatecomplaints_handling7 Aug 2021
One relative told us their recent complaint had not been dealt with to their satisfaction and communication with management had been lacking. This complaint was not documented on the complaints log.
moderategovernance7 Aug 2021
Audits completed had not identified concerns found on inspection. Audits were not completed on call times.
moderaterecord_keeping7 Aug 2021
Staff had not recorded checking water temperature for one person or skin pressure damage checks for three people.
criticalmedication_management7 Aug 2021
Staff did not record the reason for administering a medicine prescribed on an 'as required basis' to manage a person's distress or pain.
moderatemissed_or_late_visits7 Aug 2021
Due to staff being late I don't always have my tablets at the right times. Sometimes they don't have time to do you a dinner, so it has to be something quick.
criticalcare_planning7 Aug 2021
Not all people had detailed risk assessments in place. For example, risk assessments which did not contain all the potential and known risks for one person who smoked and used emollient creams
Note24 Oct 2020
Complaints appropriately recorded, trends identified and lessons learnt with people informed of the complaints process.
Note24 Oct 2020
Good partnership working with GPs, district nursing, mental health teams, local authority and social work teams.
Note24 Oct 2020
Positive relationships between management, staff, people and families with approachable leadership and open culture.
Note24 Oct 2020
Strong infection prevention and control practices with appropriate PPE available and a Covid-19 policy implemented.
Note24 Oct 2020
Person-centred care plans contained in-depth information about people's preferences, life history, routines and end of life wishes in line with Gold Standards Framework.
Note24 Oct 2020
Comprehensive induction including Care Certificate, regular supervisions, competency checks and annual reviews ensured skilled and supported workforce.
Note24 Oct 2020
Electronic MAR charts and real-time monitoring system enabled accurate medicines administration and timely oversight by care co-ordinators.
Note24 Oct 2020
People felt safe and staff were trained in safeguarding procedures with clear guidance on protecting people from abuse and neglect.
minorgovernance24 Oct 2020
There was no section within the staff meeting records to show what issues staff had raised and who was responsible for addressing and resolving these issues and by when.
minorrecord_keeping24 Oct 2020
Staff rotas were not always effective in accurately planning people's care. One person's morning call was scheduled for 10:00 but was consistently taking place around 06:00.