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Archived: Truro Internal Homecare Agency

This service was previously registered at a different address - see old profile

The provider of this service changed - see new profile

All reports

Inspection report

Date of Inspection: 16, 17 April 2014
Date of Publication: 6 June 2014
Inspection Report published 06 June 2014 PDF

Before people are given any examination, care, treatment or support, they should be asked if they agree to it (outcome 2)

Meeting this standard

We checked that people who use this service

  • Where they are able, give valid consent to the examination, care, treatment and support they receive.
  • Understand and know how to change any decisions about examination, care, treatment and support that has been previously agreed.
  • Can be confident that their human rights are respected and taken into account.

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 16 April 2014 and 17 April 2014, checked how people were cared for at each stage of their treatment and care and talked with people who use the service. We talked with carers and / or family members and talked with staff.

Our judgement

Before people received any care they were asked for their consent and the provider acted in accordance with their wishes.

Reasons for our judgement

The seven people who received care and support from Truro Internal Homecare Agency told us “they always asked me what I wanted to do”, “they ask me ‘what would you like to do today’” and “I want to be able to do it and they are helping me”.

All seven of the staff we spoke with demonstrated during our conversations with them a good understanding of the importance of gaining consent prior to providing care or support. Staff members told us “I always ask ‘are you happy’”, “I check consent all the way through”, “If people don’t want to do things you don’t force them” and “If someone doesn’t feel up to it, that’s fine we don’t do it. I usually then stay and have a chat”.

We found that as part of the care assessment process team leaders had met with individuals in need of care or support to discuss their care needs and desired goals in relation to re–enablement. We found during these assessment discussions the team leaders had worked with the individual to develop specific goals for each area of support and an overall goal for the care provided. Identified Goals within the care plans reviewed included “X would like to progress from mobilising with a frame to two sticks as X was prior to her recent hospital admission” and “X goal is to wash and dress without supervision or support”. We saw that people who used the service and their relatives had also been involved in weekly reviews of care. People told us their wishes had been respected during these conversations and one person told us “we choose not to have all the visits they offered”.

The care plans that had been returned to the office at the end of the six weeks of care provision had all been signed by the individual in receipt of care to record their consent to the care as planned. Each of the four care plans we inspected included clear instructions to staff to follow the requests of people who used the service. For example one care plan told staff “X will choose daily if she would like a shower or a wash sat at basin”.

The daily records of care we reviewed included numerous examples of staff acting in accordance with wishes of the people who used the service. For example the final daily note in one care plan said “On arrival X expressed she did not want the service to continue. Team leader informed. Book taken out. Survey left” This showed that staff had responded appropriately where people who used the service withdrew their consent.