Note16 Sept 2023
Provider proactively sought support from the local authority commissioning team following inspection feedback.
Note16 Sept 2023
Management team were described as approachable and supportive by staff.
Note16 Sept 2023
Mental capacity assessments were carried out and documented in care plans where required.
Note16 Sept 2023
People reported feeling safe and were complimentary about the approach of care staff.
Note16 Sept 2023
No missed care calls were evidenced and staff had sufficient travel time between visits.
Note16 Sept 2023
Staff received infection prevention and control training and were provided with adequate PPE.
Note16 Sept 2023
Staff received training relevant to their role including Oliver McGowan Mandatory Training on Learning Disability and Autism.
Note16 Sept 2023
Medicines were managed safely with monitoring of administration records and processes to identify and address errors.
Note16 Sept 2023
Staff were safely recruited with all relevant pre-employment checks completed including DBS checks.
Note16 Sept 2023
Risk assessments had recently been reviewed and amended, and measures were put in place to guide staff on how to reduce risks.
moderateperson_centred_care16 Sept 2023
The provider did not have due regard to 'right support, right care right culture', despite being registered as a specialist service for people with a learning disability and autistic people.
minorsupervision_appraisal16 Sept 2023
There had been slippage with formal supervisions but the management team had identified this and supervisions were planned.
moderatesafeguarding16 Sept 2023
Not all were confident in the processes for escalating concerns to relevant stakeholders externally.
minorcomplaints_handling16 Sept 2023
The provider's complaints policy and procedure needed updating to ensure information on how complaints were managed was correct to manage people's expectations.
criticalleadership16 Sept 2023
The service did not have a manager registered with the Care Quality Commission. The management team were new and had been in post for 6 weeks.
moderatecare_planning16 Sept 2023
Care plans and risk assessments had been updated and were accurate, they lacked detail in certain areas and were often generic.
moderateincident_learning16 Sept 2023
There was not a robust system in place for the provider to evidence how they learned lessons when things go wrong and to reduce the risk of reoccurrence.
criticalgovernance16 Sept 2023
The provider did not have robust processes in place to monitor the safety and quality of the service. This demonstrated a continued breach of regulation 17 (Good governance)