Note10 May 2023
Regular staff meetings were held and spot checks were carried out to monitor staff performance.
Note10 May 2023
Staff worked in partnership with district nurses, a local hospice and GPs when required.
Note10 May 2023
Staff felt well supported by the registered manager, describing an open-door policy.
Note10 May 2023
A system was in place to record, investigate and monitor accidents and incidents.
Note10 May 2023
Infection control was appropriately managed and staff had sufficient PPE available.
Note10 May 2023
Staff had received safeguarding training and knew how to report allegations of abuse.
Note10 May 2023
People told us they felt safe using the service and appropriate safeguarding systems were in place.
criticalleadership10 May 2023
The registered manager did not have an adequate understanding of their role, regulatory requirements and lacked oversight of the service.
moderatecommunication_with_families10 May 2023
Some people and relatives also said that they did not know who the registered manager was. A relative said, 'I don't know the manager. I tried to speak to the office... They don't answer the phone.'
moderateincident_learning10 May 2023
Where medicine audits did identify shortfalls, records showed that follow up actions were not documented.
criticalrecord_keeping10 May 2023
Application forms were not always completed fully, and the provider had failed to obtain each applicant's complete and accurate employment and education histories.
criticalgovernance10 May 2023
The provider had failed to carry out regular audits to identify issues. There were no audits carried out for care plans, the ECM system or for staff files.
moderatestaffing_levels10 May 2023
Only 73 per cent of calls were on time and 9 per cent of calls were more 45 minutes late. 18 per cent of calls were short and staff did not stay for the duration of the call.
moderatestaff_competency10 May 2023
Regular medicine competency assessments were not carried out to ensure staff had the skills to administer medicines safely.
criticalmedication_management10 May 2023
People who were prescribed PRN medicines did not have a PRN protocol in place with clear guidance for staff on how or when to administer medicines to them.
criticalcare_planning10 May 2023
Risk assessments and risk management plans were not always in place. Risks to people such as those associated with falls, and medicines had either not been assessed adequately.