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Archived: HQL Domiciliary Care & Outreach Support

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Inspection report

Date of Inspection: 10 September 2012
Date of Publication: 17 October 2012
Inspection Report published 17 October 2012 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 September 2012, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with carers and / or family members, talked with staff and talked with stakeholders.

Our judgement

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

Reasons for our judgement

Relatives told us they were able to make decisions and choices about the care and support their relative received. This was done by talking about this with them when they first began to use the service and when any issues about their care arose.

One relative said “They come out to carry out assessments at different times so they can see what things are like”. Another relative said “They help with mealtimes and bathing. Help to establish a routine”.

The statement of purpose showed that when the service received a referral for an individual a full care needs assessment was undertaken. This was carried out before any support was put into place. This was completed by people trained and assessed as competent to undertake this process.

Recognised methods of communication were used to gather important information to enable full involvement of the adult or child and their representatives.

The assessments were undertaken within an agreed time scale depending on the nature of the referral and the needs of the individual. Where applicable an initial assessment was obtained from the referring agencies. A package of care was then developed from the initial assessment. A further more in depth assessment was carried out once the individual has been placed with the service to check that the package of care wholly met that individual's needs.

We reviewed and discussed with the staff the care records of three people who used the service. These had sufficient detail and guidelines about the support needed to meet people’s needs. They had an assessment of need, details on how to support the person and what assistance was to be provided. Detailed guidance for staff was available so that they supported people consistently with actions that achieve the desired goal. The care plans were regularly updated.

Within care plans viewed there was guidance to staff about how to provide for a person needs or wishes. This included support with personal hygiene and gaining independent living skills. The plans included what someone could and could not do for themselves. The care plans had some common themes but also particular things about the named person, making them individual and person centred.

Assessment of risks was considered and detailed how any risk identified would be minimised for the individual and the person’s home.