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Inspection report

Date of Inspection: 2 March 2012
Date of Publication: 25 April 2012
Inspection Report published 25 April 2012 PDF

Overview

Inspection carried out on 2 March 2012

During a routine inspection

We visited children in their own homes to observe the way the agency staff provided personal care and to speak with their parents.

We observed staff using appropriate methods to engage with the children. These methods included speaking to the child at eye level, using assistive technology to help children to play with toys and undertaking activities that the children enjoyed. The smiles and vocal noises showed us that the children enjoyed the interaction with the agency staff.

Parents told us that the staff were good and at the beginning of each visit they discussed the care already provided. We were told that following these discussions the agency staff then carried out treatment programmes, for example feeding their child, administering medication and playing with their child.

We asked parents about what actions they would take if staff told them that their child�s preference differed from theirs. We wanted to know how they would respond, when staff supported their children to make choices. Parents told us that their child�s happiness was most important and both parents said that they would respect their child's choice.

One parent told us that agency staff had supported them to devise an end of life plan. This discussion was difficult but it was complete and could be �put� away.