Note21 Sept 2022
Service no longer in Special Measures
Note21 Sept 2022
Provider and director were open and honest, demonstrating willingness to improve
Note21 Sept 2022
Surveys introduced to seek feedback from people and relatives
Note21 Sept 2022
MAR sheets introduced and completed accurately for regular medicines
Note21 Sept 2022
Provider worked in partnership with healthcare professionals such as district nurses and doctors
Note21 Sept 2022
Positive feedback from people using the service ('staff are smashing', 'very pleased with the service')
Note21 Sept 2022
Consistent staff team who knew people well, providing continuity of care
Note21 Sept 2022
Staff received safeguarding training and knew how to escalate concerns
Note21 Sept 2022
Sufficient staffing levels with people reporting staff always attended on time
Note21 Sept 2022
Improvements made to safe recruitment practices including full employment history and DBS checks, no longer in breach of Regulation 19
minorconsent_capacity21 Sept 2022
Staff had not received training around the Mental Capacity Act 2005.
moderaterecord_keeping21 Sept 2022
Audits had not identified that some review dates for documents had passed.
criticalgovernance21 Sept 2022
the systems to monitor the quality and safety of the service had failed to identify these areas of concern. This was a continued breach of Regulation 17 (Good Governance)
criticalsupervision_appraisal21 Sept 2022
there was no record of staff supervisions that had taken place... informal supervision took place but that this was not recorded.
moderatestaff_competency21 Sept 2022
Following training there was no formal competency sign off and whilst some areas of care had a competency assessment, others did not.
moderatestaff_training21 Sept 2022
Staff had not received training around the Mental Capacity Act 2005.
moderatecare_planning21 Sept 2022
the risk of bed rails to one person had not been fully considered. In addition, risk assessments around healthcare conditions such as diabetes needed to become more focussed on the individual person's…