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Inspection report

Date of Inspection: 25 November 2013
Date of Publication: 4 January 2014
Inspection Report published 04 January 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 25 November 2013, talked with people who use the service and talked with carers and / or family members. We talked with staff and reviewed information sent to us by commissioners of services.

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 records contained care profiles and we saw details of reviews of people’s care, treatment and support needs with physical and mental health and social care professionals. One person in supported living told us they met monthly with their key worker to review their personal care plan and any changes were made with their agreement. A relative of a person receiving home care support said the provider had recently visited to review the support provided and took account of changing needs in updating the support plan.

Care and treatment was planned and delivered in a way that ensured people’s safety and welfare. Care records reflected people’s individual circumstances, needs and preferences. Physical, mental and social needs were taken into account. Planning and delivery of care identified risks and how they would be managed. We saw that there were regular, up to date reviews covering a range of risk areas. Relatives of people being supported in their own home told us that carers always arrived on time and provided support for the agreed amount of time. If the regular carers were away they were told in advance who would be replacing them. When there were any changes the provider ensured that people were comfortable with new carers before allocating them to provide their support. One person’s relative said, “I can’t praise the staff enough. They are really knowledgeable about my son and meet his needs and more.” Another said, “We have a good, open relationship with managers and carers. You can speak freely with them and they always listen to you and deal with things quickly.”

People we spoke with in supported living told us they took part in a number of activities in the community, either on their own or with the support of staff. They also told us of activities they engaged in at the home. One person said, “I do my own laundry and tidy up my room.” Another said, “I attend college, visit the shops and go on outings.”

There were arrangements in place to deal with foreseeable emergencies. Staff had received training in fire safety and also first aid covering medical emergencies. The provider had a business continuity plan to prepare for and cope with the effect of an emergency, both at an organisational and individual service level.

People’s care and treatment reflected relevant research and guidance. People in supported living had defined outcomes (a process for setting personal goals) set by local authority commissioners.