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Archived: Care at Home (Wearside) Limited - 13 Grange Terrace

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Inspection report

Date of Inspection: 23 December 2014
Date of Publication: 18 February 2015
Inspection Report published 18 February 2015 PDF | 68.71 KB

The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)

Meeting this standard

We checked that people who use this service

  • Benefit from safe quality care, treatment and support, due to effective decision making and the management of risks to their health, welfare and safety.

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 23 December 2014 and talked with staff.

Our judgement

The provider had an effective system to regularly assess and monitor the quality of service that people receive.

The provider had an effective system in place to identify, assess and manage risks to the health, safety and welfare of people who use the service and others.

Reasons for our judgement

We last visited the service on 23 May, 4 and 5 June 2014. We told the provider that they were not meeting this essential standard. We said, “The provider did not have effective systems in place to assess and monitor the quality of services in order to identify, assess and manage risks to the health, welfare and safety of people who used the service.” We found people had been asked for their views through a survey, but no analysis of their responses had taken place. We also found that records were kept of incidents, accidents and complaints, but this information was not analysed to identify whether there were any trends or patterns that could help identify where the service needed to be improved. We also found no evidence that any auditing took place to ensure medicines were managed safely and people’s care was planned appropriately. There were also insufficient checks to ensure good record keeping in people’s homes and to make sure staff had received the support they required. We judged this had a minor impact on people who used the service, and told the provider to take action.

Following our inspection, the provider wrote to us and told us what actions they were going to take to improve.

People who used the service, their representatives and staff were asked for their views about their care and treatment and they were acted on. We found evidence of this by reviewing the results of an annual survey that the provider had carried out prior to our inspection amongst 98 people. The registered manager had conducted an analysis of the results and found that 90% of the respondents thought that the service quality was good or excellent and that 90% reported being satisfied with their care. 77% of people said that their carers remained in their home for the allotted amount of time. We spoke with the manager about this. We were told that supervisions and spot-checks were used to ensure that staff remained in the service for the planned amount of time and that this was monitored by managers and we saw records showing this had been done.

We reviewed the complaints log and found an effective relationship between the manager and the provider that helped in resolving complaints quickly. In the 12 months prior to our inspection, the home had received no formal complaints.

The provider maintained a log of accidents and incidents. We looked at these and found that when an accident or incident had occurred, a manager had been responsive in investigating it and identifying if any changes could be made to prevent the same incident happening again.

We found that a 'daily recording book' was used in each home to monitor people's support and care. We looked at these records and found that they were detailed and kept in the best interests of people. For instance, staff had used a record book to let each other know that a person had become reluctant to take their medicine. We found evidence that this enabled staff to communicate effectively with each other and to put in place strategies to support the person in taking their medicine. The logs included a record of people's activities, food intake and any requests that individuals had made. This meant that the provider could monitor the service provided to people and ensure it matched their care plan.

We found that internal audits by a manager took place on a monthly basis. The audits made sure that the level of care people received was of a high standard and that it matched people's care plans. We found that the provider conducted these quality audits on focused areas such as infection control, hygiene and risk assessments. Quality audits also had a robust focus on medicines and included checks on staff administering medicines. This helped to ensure that the service provided by staff was safe and effective.

We spoke with managers and the provider about how they ensured the level of care provided by staff matched people's needs. We were told that staff were deployed to specific services based on