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Archived: Coastal Home Care (Hove) Ltd.

The provider of this service changed - see old profile

This service is now registered at a different address - see new profile

All reports

Inspection report

Date of Inspection: 23 April 2014
Date of Publication: 24 May 2014
Inspection Report published 24 May 2014 PDF

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

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 23 April 2014, 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

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.

Reasons for our judgement

People’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan. Care and treatment was planned and delivered in a way that was intended to ensure people’s safety and welfare.

The manager confirmed that any new people who used the service were thoroughly assessed prior to their care starting. This ensured that people's care needs could be met by the service. The manager showed us evidence of pre-assessment procedures that the provider needed to follow prior to a person receiving a service. This included liaising with other professionals, such as doctors and district nurses and included involvement with Social Services and effective care planning with the person using the service, their family or representative. Through records we looked at and feedback from staff we spoke with, there was evidence that a thorough system of assessment and introduction to the service was in place.

We viewed a sample of the care files of people who used the service. The care plans we looked at provided appropriate and detailed information to staff on how to support people in line with their needs and wishes. We saw evidence that assessments had taken place that detailed the needs of people who used the service. We saw up-to-date evaluation records used for the monitoring of general health, daily living abilities, medication, social and spiritual needs, likes, dislikes and preferences. This demonstrated that the service was planning and delivering care to meet individual needs.

The care plans we viewed had risk assessments that related to specific and identified risks to people's safety, and contained details of actions to be taken by staff to minimise the identified risks to people and staff. We were told by the care supervisor that care plan reviews were completed quarterly or when people’s needs changed. This ensured that staff remained informed of the most current care needs of people who used the service. We saw evidence in the care files that care plan reviews had been carried out regularly. This demonstrated that through the planning of care, the service had ensured the welfare and safety of people who used the service.

People who used the service were supported to maintain their health and each person had a completed health assessment. Records were seen to include evidence of multi-disciplinary notes from other people involved in the delivery of care, such as healthcare professionals. We saw that people who used the service had access to other healthcare professionals as required. We saw in the care plans that people were supported to access the local community and had set goals for people to achieve. The registered manager told us, “We worked with one person new to the service and helped them to think about what they wanted support with. Before we worked with them their quality of life was limited. Now they get out and about in the community.” We met this person during a home visit and spoke with both them and their care workers. They told us of plans to install a ramp into the back garden, which would further increase their access and by extension, quality of life. This demonstrated that the provider ensured safe and appropriate personalised care, centred on the individual and considered their circumstances and their immediate and longer term needs.

We saw that the service used annual appraisals, regular 1:1 supervision of staff, spot checks on practice and quality monitoring visits to people who used the service. We were told about regular newsletters that were circulated to people, the last contained information about how to make a complaint. The provider may find it useful to note that we saw the last team meeting held was in November. We discussed this with the manager and they acknowledged the difficulty of getting the staff team together. The manager was thinking laterally about the challenge presented and we saw another meeting was scheduled for May. We noted that one topic