Caring for You

People said they felt very safe being supported by care staff. Relatives were happy staff supported their loved ones safely.

Care plans were in the process of being improved using new person-centred documentation. Information was clearer than at the last inspection, regarding people's health and how to support them safely. This was work in progress at the time of the inspection.

People felt they received safe support with their medicines and there were more regular checks/audits of medicine records. However recording of medicines needed to be improved and the medicines policy needed to be more detailed.

Recruitment procedures were more robust to ensure staff's suitability to work with vulnerable people. Staff training had improved as had the induction process, competency checks and staff supervision. All staff spoken with felt very well supported in their role to be able to provide care safely.

Daily notes were detailed and person-centred, but closer monitoring was still needed with regard to reviewing daily notes. These were stated as being audited monthly, yet the records we reviewed showed no management oversight of these since the end of December 2021. The provider said this was addressed immediately after our visit. Some gaps in care records suggested care had not been provided at times identified; the provider explained this was in part down to poor internet connection and they were working to improve this.

Policies and procedures were still being updated and we made a recommendation the provider seeks further advice for developing these so they become meaningful documents and support how the service is

run.

Roles and responsibilities were more clearly defined and consultant staff had been employed to help drive improvements in the service. Staff understood the lines of accountability and knew who to refer to with any queries or concerns. People and relatives were confident in how the service was run and they were complimentary about the quality of the care they received. Questionnaires were due to be sent to people by the end of March 2022 and the provider agreed to share the results of these with CQC.