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Archived: Care Solutions UK Limited

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Inspection report

Date of Inspection: 17 July 2012
Date of Publication: 2 August 2012
Inspection Report published 2 August 2012 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

Our judgement

People’s needs were assessed and their care and support was planned and delivered in line with their individual care plan. The provider was meeting this standard.

User experience

People told us that staff liaised with the agency, the client, and their families to ensure the care arrangements were delivered according to the agreed care plan. One person told us the staff member knew their relative ‘so well’ and was therefore able to liaise with friends and relatives, and managed the social diary to ensure the client maintained their independence and social links. Care was described as “Very good.”

Other evidence

We spoke to the registered manager who showed us the care plans for the two clients who were receiving a personal care service at the time of our inspection. Both showed that an initial assessment had been carried out, and this had been translated into an ongoing plan of care. The care plans had both been reviewed and updated in May this year, and the manager told us this was done every six months unless more frequent changes were required.

We noted the care plans contained a good overview of people’s preferences and the manager showed examples of the weekly reports that she received by e-mail from each care worker to show how the care arrangements had gone during the previous week. This enabled her to monitor the support people received.

We were told that in addition to the care plan there was a much more detailed record in each person’s home about their daily routines and preferences. This was used as a handover between staff, and detailed their needs in relation to their activities of daily living. The manager said this was particularly important for clients who had dementia or a memory impairment, and ensured that staff who covered for holidays or sickness, were providing care in a consistent way.

We also noted that there were moving and handling risk assessments in place. The manager told us she is a manual handling trainer and she gave this training to her staff every year.

We saw medication records which were returned to the service on a monthly basis for monitoring by the manager. There was some discussion about the current medication arrangements and the manager said she would be doing some more work on improving this. For example asking the local pharmacist to provide a printed medication record, and ensuring staff signed this using their signature, rather than a tick, when they had given medication. She confirmed by e-mail that these actions had been completed within 48 hours of this inspection.

We spoke to staff who told us how they ensured care plans were followed and how their clients were involved in their own care planning. Both gave examples of the choices that people were given in relation to their personal care, for example choosing what they would like to wear, and how they would like to spend their day. The staff we spoke to were very knowledgeable about their client’s individual preferences.