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Archived: The Paceys

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Inspection report

Date of Inspection: 9 June 2011
Date of Publication: 1 July 2011
Inspection Report published 1 July 2011 PDF | 108.79 KB

People should be protected from abuse and staff should respect their human rights (outcome 7)

Meeting this standard

We checked that people who use this service

  • Are protected from abuse, or the risk of abuse, and their human rights are respected and upheld.

How this check was done

We reviewed all the information we hold about this provider, carried out a visit on 09/06/2011, checked the provider's records, observed how people were being cared for, looked at records of people who use services, talked to staff and talked to people who use services.

Our judgement

This outcome was assessed as a minor concern. The provider has systems in place to make sure people who use the service are protected from abuse, or the risk of abuse. However, these systems have not been followed recently and the safety of people who use the service has been put at risk.

User experience

We have not spoken directly to people who use services in assessing this outcome.

The last time we visited the service in July 2009 we said that the atmosphere in the home was relaxed and people were confident and outgoing and seemed very willing to express their views.

During this visit, we saw that people were happy and comfortable with staff in their interaction with them. They made good eye contact and were confident to ask for things or make suggestions.

Staff told us they had received training in safeguarding vulnerable adults. They were able to say what action they would take if they suspected abuse or had an allegation of abuse made to them. They were very clear on their responsibility to report any allegations or suspicions of abuse. They also said they had been trained in the safe management of violent or aggressive behaviour. All staff we spoke to said restraint is never used. They said they use de-escalation and re-direction techniques to support people who may display behaviour that challenges others. They also said that through careful care planning they could identify triggers for people’s behaviour and make sure these were avoided if possible.

Staff also told us that people’s visits are carefully planned to make sure people who use the service are compatible and get on with one another.

Other evidence

In May 2011 the provider told us of a safeguarding incident where the risk assessments of a person using the service had not been followed and the safety of people who use the service had been put at risk. This has resulted in an investigation into the incident that occurred as a result of this failure to follow risk assessments. This investigation remains on-going. The provider has taken appropriate action to safeguard people who use the service whilst this investigation takes place.

We did not ask the provider to assess themselves in this outcome area. However they provided us with information on how they are meeting this outcome area in another part of their assessment. The provider also told us they have policies in place to act responsively to all allegations of abuse and that these are in line with local authority procedures. They told us they minimise the risk of abuse occurring by providing training to staff in identifying signs of abuse and to respond to any abuse that is suspected.

The service provided other evidence of how they are compliant with this outcome. They said in the PCA, ‘All staff are trained in low arousal theory which identifies the least aversive way to support someone who displays behaviours, to make sure that person centred approaches are always followed.’