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Harcombe Valley Care Limited Good

All reports

Inspection report

Date of Inspection: 15 January 2014
Date of Publication: 22 February 2014
Inspection Report published 22 February 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 15 January 2014, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members, talked with staff and reviewed information given to us by the provider.

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

People told us that they had found all the carers who visited them were efficient and well trained. They understood the care to be given and how to use any equipment provided. One person told us that they felt safe and secure when the carers used their standing hoist. We observed this and saw how the carers explained what they were doing at all times, waiting for the person to tell them when they were ready to be moved, allowing plenty of time for the procedure. A risk assessment was in the care plan for this hoist, training given and signed by the carers and the person concerned.

People told us that they felt the carers who visited understood their needs and that they never had care given to them from a stranger, all carers were introduced to them and worked with a known carer until they were fully conversant with the person and their care needs. One person we visited was unable to hear what the carer was saying to them. The carer checked the hearing aid and replaced the battery, enabling the person to hear properly they told us the “girls are all good and look after me well”

We were told that the carers were very good communicators, empathic and could understand any dynamics, thus ensuring that they could pick up any concerns even if the person concerned was unable to speak to them. We were told by a health professional that they felt the agency was especially good at providing care when there were complex needs, making them their choice where “you need an extra mile”

One relative told us that if they were away the agency took over care of the cat, and “a care plan was in place for it” They also told us that the carer made sure the yellow bag for disposing of contaminated refuse was put out for collection. We were told that having a care agency they trusted enabled them to have a break and so felt their own quality of life was looked after as well.

We saw that care plans were in place, daily reports were written and signed for. Care plans were reviewed annually, but were also reviewed as required, liaising well with Doctors and district nurse.

We saw evidence of weekly timetables, with times of visit and which carer/s would be attending. They understood there was a fifteen minute overlap on expected times, they were informed of anything over that time, so they felt confident in receiving a reliable service. A member of staff told us that if there was likely to be a longer delay someone was sent out from the office to cover. They felt the locality of the office was important in ensuring this reliability for the people who used the service. We were told that the overlap time was seldom used, more likely for the carer to be a bit early and give extra time to them. We were told by carers that they felt they were given plenty of time, with sufficient time between visits, so no person was felt to be rushed.

We saw evidence of good hygiene control; each carer had personal hand gel which was used before and after each visit. Each person had an individual pack containing gloves which we saw being used and properly disposed of on each visit.

We saw evidence of general training in place as well as specific needs, such as training for use of hoists. We were told that training was always put in place when there was a need, such as recently the Stoma Care Nurse had given a training session for all the carers at the office.

All the people we spoke to felt happy that the care given was of a high standard and provided for all the care needs given by suitably qualified carers.