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Mackley Homecare Limited Good

All reports

Inspection report

Date of Inspection: 4 February 2014
Date of Publication: 8 March 2014
Inspection Report published 08 March 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 4 February 2014, talked with people who use the service and 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

People’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan. Initial assessments of the people’s needs were carried out by senior staff and a care plan developed with people using the service. In the sample of records we reviewed we found that the care plans outlined people’s needs. For example, care plans identified the person’s needs such as help with washing, dressing and mobility. People we spoke with told us they found the support provided very good and reliable. Most people we spoke to had used the service for a long time. We found care plans were reviewed and updated regularly and where any changes were noted care plans were amended to reflect people’s current needs. Spot checks were carried out regularly by a member of the management team and discussed with the carer and the person receiving the care. People we spoke with confirmed this. We reviewed five care plans and staff records which contained evidence of spot checks had been carried out.

Care and treatment was always planned and delivered in a way that was intended to ensure people’s safety and welfare. Risk assessments were carried out on issues such as the home environment, mobility and general health. One risk assessment identified the person was at risk of falling due to poor eyesight. The risk assessment identified the need for carers to ensure that the home was free of hazards and that walking aids were close to hand to reduce the risk of the person falling. Staff we spoke with confirmed that they were able to carry out the necessary care for people and worked regularly with the same people whenever possible. Staff told us that they could call the office for support or to query anything if they needed assistance or support.

There were arrangements in place to deal with foreseeable emergencies. Staff were all aware of the action to take in the event of a medical emergency or if a person had suffered a fall or became unwell. The provider operated an on-call system outside of the office hours for clients to contact and gain advice should they need to do so. Records confirmed that all staff had undertaken first aid training to ensure that people’s initial safety could be maintained.