Caddington Grove

Systems in place at the service to monitor accidents and incidents did not always identify trends and areas for improvement. People’s risk assessments and care plans sometimes needed more detail to help guide staff how to fully mitigate risks to people. Some, aspects of how people were supported with their medicines needed improvement. The registered manager and provider told us they would review these issues and were already in the process of doing this. People’s needs were assessed before they started using the service and staff supported people to see health professionals if they needed to do so. Environmental risk assessments related to the service, including fire safety were completed and staff completed regular checks to help ensure people were kept safe. There were enough staff to support people safely at all times of the day and staff were recruited safely. Staff had the training, knowledge and supervision to be effective in their job roles. The service looked clean, and staff followed good infection and prevention control (IPC) practices.

Some of the audits completed by the management team were not always effective in identifying areas for improvement. For example, in areas such as reviewing daily records to ensure they were completed fully. Some relatives felt communication from the management and staff team could be improved. These issues were already being addressed by the management team. The registered manager and provider had a clear vision for the service and worked with the staff team to help provide good care to people. The registered manager and provider understood their responsibilities and were keen to use audits to find and implement improvements at the service. People, relatives, and staff were supported to raise concerns, and these were taken seriously and responded to. Staff felt well supported in their roles and enjoyed working at the service. Staff worked well with other partners such as health professionals and the local community to help people achieve good outcomes. The management and staff team were open and honest through the assessment process and took our feedback seriously, starting to take action to continue to make improvements immediately.