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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

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 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

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

Reasons for our judgement

We spoke with seven people who used the service or their relatives by telephone during the inspection. Everyone we spoke with was happy with the quality of care and support they had received from Truro Internal Homecare Agency. People told us “they are very very good”, “I was a bit apprehensive before they started but I have been very impressed with the care”, “I will miss them but I am getting on great at the moment” and “I am amazed how much progress I have made”.

We inspected the care plans of four people who used the service. Care plans are essential to plan and review the specific care needs of a person. They are a tool used to inform and direct staff about a person and their individual care needs. The care plans included detailed assessment of care needs, agreed goals and desired outcomes of care as well as information about each person's hobbies, interests and life history. This type of information is important as it provides care staff with an understanding of who people are and how their life experiences can impact on their health and wellbeing.

We found that the care plans were clear, informative and accurately reflected peoples care and support needs. Staff told us “the care plans are normally done before the first visit” and “the information we get is amazing”.

Records showed that care plans had been regularly reviewed by team leaders who aimed to visit each person who used the service in their own home once per week. People who used the service told us that team leaders visited regularly. Comments received included “I’ve seen the team leader two or three times so far” and “she came and had a look at what we had been doing. She checked I was happy”. We found that one person had expressed a preference for longer care visits in the evening during one of their review meetings. This person’s care records showed that as a result of this request the length of the evening care visit had been increased from 30 minutes to 45 minutes. This demonstrated that the wishes and preferences of people who used the service had been respected.

All of the care plans reviewed included detailed assessments of the risk to both staff and to people who used the service during the provision of care and support. Risk assessments are a tool used to identify any hazards and the action that staff must take to reduce the risk from the hazard. We found the risk assessments had been completed during the initial assessment visit and included information for staff on the actions they must take to mitigate against the identified risks.

We inspected the daily records of care for each of the people whose care plans we reviewed. The records were detailed, informative and included records of the arrival and departure times of staff. They included details of the care provided, food and fluid consumed, persons mood and activities or exercises they had completed as well as comments on the individuals progress towards their agreed goals. All daily care records had been signed by staff.

We compared information on the timing of care visits recorded in the daily records of care with people's expressed preferences in relation to the timing of care visit. We found that staff routinely arrived on time and stayed with the individual in need of care and support for the full visit. The provider also used a telephone based electronic call monitoring system that allowed staff to report their arrival and departure from each care visit. These records accurately reflected the information recorded in the daily records of care and we were able to identify from the providers visit planning records where people who used the service had chosen to cancel individual care visits. People who used the service told us there care staff were “pretty punctual”, “always on time” and “they are always punctual and don’t rush away”. People also reported that they regularly saw the same members of staff and were able to get to develop effective and supportive relationsh