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Archived: Elite Care Providers

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Inspection report

Date of Inspection: 9, 12, 17, 19 July 2013
Date of Publication: 17 August 2013
Inspection Report published 17 August 2013 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 9 July 2013, 12 July 2013, 17 July 2013 and 19 July 2013, 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, talked with staff, reviewed information sent to us by commissioners of services and talked with commissioners of services.

Our judgement

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

Reasons for our judgement

We spoke to two people that used the agency and a family member of a person using the agency by telephone. We also spoke with nine staff, seven at the agency office and two by telephone. People using the agency said they were satisfied with the service they received. They said their support workers were very good and provided the support they wanted. They told us they received regular visits from the same staff. One person said, "The same staff visits all the time I have my team. I tell them what I want to do. They help me to make meals, go shopping and remind me about my meds (medicines), but I’m in charge”. Another person told us, “Staff will make me a boiled egg or a bacon sandwich. I say what I want to eat and they make what I want and will do anything that I ask”.

The family member of a person using the service said their relative was always involved in decisions about their care as well as being in regular contact with the agency. They said, "We get the same regular carers which is very good. Because of her Alzheimer’s my wife does not make many decisions. I give them (staff) permission to do only certain things for her. It’s part of their quality control and what’s in her care plan. I have given then permission to help with her personal care and medication. They tend to work with her and involve her in everything they help her with and if she said no to them helping her, I am sure they would not do something”.

We saw the care and support plans of four people who used the agency. These were written to guide staff on how to support people. Plans were detailed and included information about people's routines, choices and preferences so staff had information to provide individual care. Support and care plans were person centred in the way they included people's personal routines. The team managers for the service regularly reviewed care and support plans with people that used services. They said that they recognised that more work needed to be done to describe the support and care that people needed to reflect in more detail the support that had been agreed with them. For example the agency had a form to record best interest discussions between the agency, people’s family members or professional involved in their care. This was not consistently used but was part of the agency’s policy on mental capacity.

We spoke to three care support workers all who were recently recruited to the agency about training on The Mental Capacity Act 2005. They confirmed they had not yet completed the training. The manager confirmed that this training was to take place for all staff. The staff we spoke to had knowledge of capacity and consent to treatment form previous work experience and was able to give us good examples of their understanding. One care support worker told us, “I always assume clients have capacity and encourage them to make decisions. There are no clients I work with were capacity is a problem. For instance ….makes all her own decisions, she is fussy about her shopping list so she tells us exactly what she wants and we have to get it right”.