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Inspection report

Date of Inspection: 2 January 2014
Date of Publication: 25 January 2014
Inspection Report published 25 January 2014 PDF | 78.31 KB

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 2 January 2014, observed how people were being cared for and talked with people who use the service. We 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

We checked the care records of a person who used the service we did this because we wanted see if the records accurately reflected their needs and to confirm what the registered manager had told us. We saw that care was planned and delivered in a way which met the person’s needs. The registered manager was able to describe the level of assistance the person required and how they preferred to receive care. She had a good knowledge of the person’s health and how this had changed over time. We saw evidence of visits from professionals from outside the service including doctors, district nurses and outreach workers who had been involved to ensure the person received appropriate care and support.

When we spoke with the person whose records we had checked they told us they had always been happy with the care and support they received. They said, “It’s good here. I’ve been here a long time”. They told us that staff were polite, friendly and kind to them. This meant that they were happy with how they had been cared for.

We saw that some risk assessments had been completed to help keep people safe. We saw records about an injury that a person had received whilst being transferred between a wheelchair and a car; no risk assessment had been carried out following the incident to help prevent a similar event occurring in the future. The registered manager said, “I understand what you mean. If a stranger needed to provide support they wouldn’t know about it. The reason I haven’t done one is because the only people who do provide care is us, and of course we already know about it. Everything was documented, but perhaps I should have completed a risk assessment”. This meant there was the potential for people to be exposed to unnecessary risk.

We saw how the service had planned that care and support would be maintained if the registered manager and her husband were unable to support people who used the service. Plans were in place to ensure that full 24 hour cover could be provided by suitably qualified people if such an emergency arose. This meant that people who used the service could be confident of receiving the care and support they needed at all times.