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Inspection report

Date of Inspection: 13 November 2013
Date of Publication: 11 December 2013
Inspection Report published 11 December 2013 PDF | 78.78 KB

People should be safe from harm from unsafe or unsuitable equipment (outcome 11)

Meeting this standard

We checked that people who use this service

  • Are not at risk of harm from unsafe or unsuitable equipment (medical and non-medical equipment, furnishings or fittings).
  • Benefit from equipment that is comfortable and meets their needs.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 13 November 2013, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members and talked with staff.

Our judgement

People were protected from unsafe or unsuitable equipment.

Reasons for our judgement

During out visit we observed equipment in use to assist people who used the service and we saw that people were protected from unsafe or unsuitable equipment because the provider ensured that equipment within the home had been maintained and serviced. We observed manual handling equipment in use and saw records that included regular servicing of the hoist being carried out by an external contractor.

We saw maintenance records for a number of items of clinical equipment that included regular calibration of certain clinical items. Equipment in use included a blood glucose monitoring system, blood pressure monitors, nebulisers and a syringe driver.

We were told that staff received training in the use of equipment as part of their induction programme, however the provider might find it useful to note that written instructions and guidance were not always seen to be available. Nursing staff told us they had attended training in the use of syringe drivers, delivered by a local hospice. We saw that manual handling training involved training in the use of equipment such as the hoist and handling belts. We were told by the manager that the provider was in the process of buying a new hoist and that this decision making process included nursing and care staff attending equipment demonstrations.

Staff we spoke to told us that care was taken to maintain people's dignity, comfort and safety when using equipment to assist staff in caring for them. One staff member told us "we always talk through what we're going to do before we do it."

We saw evidence of risk assessments having been undertaken and that these were recorded as part of a computerised health and safety system. Risk assessments we saw having been carried out included the use of the hoist, wheelchairs and bed rails. The manager told us that the system of risk assessment was currently under review and that staff had been identified to take the lead in ensuring risk assessments were carried out on a regular basis.

We saw that arrangements were in place for dealing with emergencies that included electricity, water or gas supply failure and we were told that staff had access to emergency contacts out of hours as part of these arrangements. We saw evidence that medical device alerts were circulated to nursing and care staff as necessary.