Note2 Jun 2023
Registered manager worked in an open and transparent way and was receptive to feedback.
Note2 Jun 2023
Positive staff surveys and spot checks showed staff provided appropriate, person-centred care.
Note2 Jun 2023
Staff demonstrated good understanding of MCA principles and always sought consent before providing support.
Note2 Jun 2023
Medicine was safely administered with a medicine audit system in place.
Note2 Jun 2023
Staff were trained in infection control and PPE use, with adequate supplies always available.
Note2 Jun 2023
People confirmed they felt safe and that staff followed safe working practices.
Note2 Jun 2023
Sufficient staffing levels in place to meet people's needs.
Note2 Jun 2023
Safe recruitment practices were in place with references and criminal records checks completed for all staff.
minorcare_planning2 Jun 2023
Some risk assessments lacked detail such as assisting with managing distressed behaviour.
moderategovernance2 Jun 2023
Auditing had not identified issues we found such as the lack of detail in some risk assessments. The safeguarding audit did not include whether all reported incidents have been reported to relevant ag…
criticalsafeguarding2 Jun 2023
The provider had failed to recognise and report a safeguarding incident to CQC. This was a breach of regulation 13 (3) of the Health and Social Care Act 2008.
Note22 Nov 2022
Registered manager knowledgeable about duty of candour, MCA principles, and regulatory notification requirements.
Note22 Nov 2022
Quality assurance systems including audits, surveys, and team meetings used effectively to drive improvement.
Note22 Nov 2022
Positive staff culture with management promoting an open, inclusive environment; staff felt well supported and able to raise concerns.
Note22 Nov 2022
People supported to be independent, make choices, and engage in meaningful activities including community participation.
Note22 Nov 2022
Staff well trained including completion of the Care Certificate and training in medication, safeguarding, moving and handling, and infection control.
Note22 Nov 2022
Medicine administration records completed accurately and regularly audited; minor mistakes identified and acted upon.
Note22 Nov 2022
Safe recruitment procedures in place including ID checks, employment references, and DBS checks.
Note22 Nov 2022
Staff developed strong therapeutic relationships and followed robust care plans to keep people safe, as confirmed by external health and social care professionals.