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Avocet Trust Domiciliary Care Service Good

All reports

Inspection report

Date of Inspection: 8, 16 January 2014
Date of Publication: 11 February 2014
Inspection Report published 11 February 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 8 January 2014 and 16 January 2014, 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 people who use the service, talked with carers and / or family members, talked with staff and talked with commissioners of services.

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

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.

Discussions with staff, our observations and the records we saw showed people's needs were assessed and care and treatment had been planned and delivered as they preferred.

We looked at the records and care plans for two people who used the service. The information in the care plans was detailed and up to date. We found the care plans were meaningful and person centred. They identified individual issues that were important for people in relation to their care. One person told us, “Staff help me look after my rabbit and my cat. I like living in my house.”

The files we checked contained details about the risks the person concerned might be vulnerable to or may present. The files told staff how people should be supported to minimise any identified risks.

For people who presented with challenging behaviours, we found support plans were in place. The plans were personalised to meet the needs of the individual. They recorded personal feelings and triggers for their behaviour and the support required. Staff maintained records of any incidents. Care plans had been reviewed regularly to make sure they reflected any changes in people’s needs.

Records showed health professionals such as the community mental health nurse, had regular involvement with the service and provided training and support to the staff and people who received a service. Sessions on bi-polar disorder and epilepsy management had been provided to staff in recent months. We spoke to one of the community health team who told us that the staff at the service were good at discussing concerns about patients and accessing support. Any guidance received was incorporated into the care plans. They also said the staff had good knowledge of their patient’s individual’s needs and care was more consistent. They explained how staff understood when to involve the specialist teams and were able to ‘drive’ the contact and support needed.

People we spoke with said they were happy with the care and support they received. They told us the staff helped them to be independent. One person told us, “I like to clean the kitchen and do things for myself. I make sure things are switched off before we leave the house, so it’s safe.”

The majority of relatives expressed high satisfaction with the services provided. Comments included, “The staff make sure he looks very nice and take him shopping for clothes”, “I’m pleased with all the care, we go to all the reviews and I can speak with any of the staff or the manager if there are any issues” and “My son receives the support he needs, its tailored to him.” We did receive some more negative comments from a relative about communication and continuity of care which we passed on to the manager.

The staff demonstrated good knowledge about the needs and preferences of the people they supported and cared for. We observed positive engagement and interaction between staff and the people who used the service.