Care plans contained information to enable staff to support people's needs. However, there was a lack of evidence to show that care plans were reviewed. We saw that the high level of use of the emergency alarm was impacting on scheduled care visits. People confirmed that staff had sometimes been called away to respond to the alarm. The level of needs of the people living in Alice Bye Court had increased. For some these now appeared to exceed the available support. Needs re-assessments had been sought from the local authority, for some people in the scheme.The local authority and the Care Quality Commission recently had concerns raised with them about the care provided within Alice Bye Court. The commissioning local authority found shortfalls in medication recording, training and competency monitoring, which the provider was addressing with their help.
Staff recruitment processes were more rigorous. The new scheme manager was addressing the backlog of supervisions and spot checks. It was not clear from records whether all staff had received regular core training.
The management team were establishing more effective monitoring and review systems within Alice Bye Court. Some people supported within the scheme had been asked their views about the service but it was not clear that everyone had been consulted. The management were working towards the action plan agreed with the commissioning local authority to address the identified issues around medication.