George Edward Smart Homes

Risk assessments and associated support plans used by staff as a point of reference were not always up to date or completed which put people at risk of otherwise avoidable harm. There was limited use of systems to take a holistic view of people's needs, to record, manage and report concerns about risks, safety and incidents.

People told us they received their medicines safely. However, medicine audits failed to look holistically at medicines management and administration resulting in areas of incomplete record keeping.

People received support from a range of health professionals when required. However, care plans including risk assessments and support plans were not routinely updated to reflect any required changes for staff to use.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

The home was well maintained, clean with access to large outside garden and seating areas. Staff had good access to personal protective equipment to manage the risks associated with the spread of infection including Coronavirus and adhered to government guidance to protect people.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People told us they felt safe and were happy with their care. Enough suitably trained staff were employed who were knowledgeable and skilled. Staff received appropriate training and support to carry out their roles.

The manager was aware of the improvements required. Observations and feedback confirmed the failings we found had a low impact on people at the time of the inspection, but people were at risk if the required

improvements were not quickly implemented.