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Archived: Advantage Healthcare - Colchester

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Inspection report

Date of Inspection: 13 January 2014
Date of Publication: 21 January 2014
Inspection Report published 21 January 2014 PDF | 75.29 KB

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 13 January 2014, talked with carers and / or family members and talked with staff. We reviewed information given to us by the provider.

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

People's needs were assessed and care and support was planned and delivered in line with their individual care plan. The manager told us that the service employed several office based registered nurses who carried out people's individual assessments before they were offered a care package and would reassess people’s care plans as their care needs changed.

The manager told us that some of the people who used this service had specific, complex needs relating to their medical diagnoses. We sampled four files containing details of people’s care and treatment. They contained assessments of each person’s needs in relation to their care, treatment and other aspects of their lives such as their spiritual needs. Where people had clinical needs, there was information about their diagnosis and symptoms. This had been gathered from a variety of sources including medical staff, the person concerned and family members. The assessment information had been used to develop care plans to provide staff with information about how to meet people’s needs.

Staff provided the care and treatment in a way which was consistent with the plan. The records contained daily notes which staff had completed showing details of their actions. These notes provided evidence that the care had been delivered as required by the plan.

Where carers had undertaken clinical tasks such as oxygen therapy, we found evidence that this task had been delegated by a nurse who had assessed that the person was trained and competent to undertake the task.

We spoke with several people who used the service and they told us that the staff took good care of them. One relative told us, "On the whole we are really satisfied, I feel safe when they are there. Everything is running smoothly and [my relative] is happy which is the main thing."

Care and treatment was planned and delivered in a way that ensured people’s safety and welfare. We saw that people’s files contained a range of risk assessments. These provided details of possible risks to staff and people receiving the service and the actions which staff needed to take in order to minimise these. The risk assessments covered aspects of the physical environment and the possible risks associated with certain tasks, such as administering oxygen.

We saw published research and guidance in each person’s care records regarding their particular medical conditions, treatment and equipment.

We were told by staff and relatives of people who used the service that there was a 24 hour on call system for any emergencies and that there was a nurse team 'on call' if needed in an advisory role.