Note7 Aug 2024
Staff felt well supported and able to raise concerns, with positive feedback about management transparency.
Note7 Aug 2024
Relatives praised the skills, expertise and caring nature of staff highly.
Note7 Aug 2024
The service worked effectively in partnership with specialist health professionals including psychiatrists and neurologists.
Note7 Aug 2024
Care plans were person-centred, written accessibly and involved people in their own care planning.
Note7 Aug 2024
Staff demonstrated good knowledge of safeguarding, including how to raise concerns internally and externally.
Note7 Aug 2024
Staff were safely recruited with a comprehensive induction; new staff not rushed into responsibilities.
Note7 Aug 2024
Robust infection control procedures were in place, including COVID-19 measures, PPE use and staff training.
Note7 Aug 2024
Medicines were managed safely with appropriate staff training and competency checks by service managers.
minorperson_centred_care7 Aug 2024
decisions about how to carry out night checks to keep people safe whilst ensuring their privacy needed review
moderateincident_learning7 Aug 2024
we questioned the lack of timeliness in carrying out a thorough review of all plans and all risks relating to epilepsy
moderaterecord_keeping7 Aug 2024
Care plans did not instruct staff to check in this way. Risk assessments stated staff should check people each hour, but did not specify how.
moderategovernance7 Aug 2024
The issues we raised about the management of people's epilepsy and the staffing of one of the supported living services had not been proactively explored by the registered manager.
criticalstaffing_levels7 Aug 2024
despite two staff being needed to support one person with their mobility needs, there were parts of the day when only one staff member was on duty
criticalcare_planning7 Aug 2024
one person's risk assessment was due for a six monthly review but had been left for 11 months. Another person's protocol about their emergency epilepsy medicine was incomplete