Note18 Jan 2024
The registered manager promoted a strong learning ethos with robust training packages including coaching skills.
Note18 Jan 2024
Positive feedback from professionals regarding communication, partnership working, staff training and quality of care staff provided.
Note18 Jan 2024
The provider understood and met its duty of candour responsibilities and notified relevant authorities of reportable events.
Note18 Jan 2024
Staff followed effective infection prevention and control practices including hand washing and use of PPE.
Note18 Jan 2024
Care plans and risk assessments contained detailed guidance for staff, including guidance for high-risk conditions such as diabetes.
Note18 Jan 2024
Staff were trained in safe medicines administration with competency checks conducted by senior staff.
Note18 Jan 2024
Safe recruitment processes were in place, including DBS checks for both permanent and temporary staff.
Note18 Jan 2024
Staff received training in safeguarding and understood how to recognise and report concerns; most people felt safe with staff who treated them with kindness.
moderatestaffing_levels18 Jan 2024
Staff felt pressured to cover more care visits than they had capacity to complete which impacted on care visit times or 'cutting corners.'
moderateincident_learning18 Jan 2024
There was a disconnect between the analysis of concerns understood by the registered manager and what people told us they were experiencing.
moderatesupervision_appraisal18 Jan 2024
Staff told us they received supervisions and staff meetings but they felt unsupported and not listened to by the registered manager and office staff.
moderatecomplaints_handling18 Jan 2024
People and relatives felt they were not listened to and were not told outcomes as a result of their feedback. One relative told us, 'The interpersonal skills of office staff and the [registered manage…
moderatemedication_management18 Jan 2024
Inconsistent care visit times sometimes meant people who required their medicines at specific times or with meals were not always able to do so. People had not come to harm, but this placed them at ri…
criticalgovernance18 Jan 2024
Systems were not effective in assessing, monitoring and mitigating the risks relating to inconsistent care visit times. This was a breach of regulation 17(1)
criticalperson_centred_care18 Jan 2024
Care visit times were inconsistent and preferences for gender specific support or care visit times stated at reviews of care not always adhered to. This was a breach of regulation 9(1)
criticalmissed_or_late_visits18 Jan 2024
Staff told us they did not receive travel time planned into their rota which had an impact on the times of care visits, often making them late by an hour or more.