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Archived: Individual Care Services - 14 Marble Alley

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All reports

Inspection report

Date of Inspection: 10 December 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 10 December 2013, checked how people were cared for at each stage of their treatment and care and talked with people who use the service. We talked with carers and / or family members, talked with staff and reviewed information sent to us by commissioners of services.

Our judgement

People experienced care, treatment and support that met their needs and protected their rights.

Reasons for our judgement

The manager told us they always visited people in their own home to carry out an assessment of their needs and abilities. They explained that they could not agree to a support package without first meeting the person and making sure they had the right staff, with the right skills, to support them effectively.

A relative we spoke with told us the manager visited them to get to know their relation and to find out how they would like to be supported. The relative told us their relation had, “Definitely improved” since they had started using the service. This meant that the manager’s assessment and care plan were effective.

In the care plans we looked at, we saw the manager assessed people’s health, mobility, social and cultural needs. The manager assessed whether they could support the person effectively within the proposed times and days. The assessment of needs resulted in a care plan which detailed the actions that staff should take to meet people’s individual needs.

The manager assessed risks to people’s health and wellbeing, which resulted in a list of actions that staff must and must not take. We found that the list of, “Do’s and Don’ts” for staff was individual for each person. For example, staff were not to make jokes with a person with autism because the person did not understand jokes.

The care plans we looked at were person centred. This meant that the actions for staff were focussed on the individual’s likes, dislikes and preferences. Support workers told us, “The care plans describe the person and their needs well” and “The care plans are detailed. I have never felt unprepared.” This meant that people’s care and support were planned and delivered in line with their individual care plan.

The manager went out to meet people at their preferred location to check that they were happy with their care and support from staff. We saw the manager kept a record of their meetings with people. People’s suggestions for changes were recorded and acted on.

The manager regularly reviewed people’s care and support plans. We found that a team of people attended the review meetings, which included the person or their representative. The review meeting agenda included, “What is important to X” and “What we have learnt about X.” We saw that the person was encouraged to contribute to the discussion, so staff could get to understand them better. The content and outcome of the review meetings were produced in pictorial format, including photos. This meant that the manager made sure each person had a record of their discussions and decisions in a format they could understand.