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Inspection report

Date of Inspection: 20 May 2014
Date of Publication: 24 June 2014
Inspection Report published 24 June 2014 PDF

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

Not met 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 looked at the personal care or treatment records of people who use the service, carried out a visit on 20 May 2014, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members, talked with staff, reviewed information given to us by the provider and reviewed information sent to us by other authorities.

Our judgement

People who use the service were not protected from the risk of abuse, because the provider had not taken reasonable steps to identify the possibility of abuse and prevent abuse from happening.

Reasons for our judgement

The provider had responded appropriately to allegations of abuse. There had been two recent safeguarding concerns, raised by the registered manager. We looked at records that showed these had been correctly referred to the local safeguarding authority with no further action required. All of the people that we spoke with told us they felt safe. Care records we looked at demonstrated that the correct process had been followed where deprivation of liberty safeguards (DoLS) had been applied. We saw training records that demonstrated staff had successfully completed recent training on the requirements of the Mental Capacity Act 2005 and DoLS.

The provider had not taken reasonable steps to identify the possibility of abuse and prevent abuse from happening. The "Complaints and Protection" policy that was being followed by staff did not reflect current safeguarding legislation, standards, or terminology. Managers told us that the policy should be reviewed annually and that it was last reviewed in January 2013. However there was no record of the amendments made, and staff we spoke with could not recall changes that were introduced at that time. There were no clear instructions on local reporting procedures. Our previous inspection report (August 2013) identified that there was out of date safeguarding information available to staff, particularly in relation to the role of the Disclosure and Barring Service and stated that the provider would be updating the policy. Managers told us this had not happened. The Registered Manager had also agreed to obtain a copy of the London guidance document 'Protecting Adults at Risk: London Multi-Agency Policy and Procedure to Safeguard Adults from Abuse'. There was no evidence that this had been obtained. This meant that up to date Government and local guidance about safeguarding people from abuse was not accessible to staff or put into practice.

None of the staff we spoke with had raised any safeguarding concerns. Staff told us they felt that if they were to report any abuse that they would be taken seriously. Not all staff we spoke with correctly described the safeguarding processes relevant to them or the process for reporting suspected or actual abuse. One member of staff said: "I would report the matter to the CQC", rather than describing the local processes. The name of the safeguarding lead and their role was not included in the policy and they were unable to provide evidence of recent training at the required level.

We looked at the induction programme and saw no evidence that newly recruited staff had completed safeguarding training as part of their induction. Two members of staff told us they had not completed safeguarding training in the course of their employment at Green Trees, and that they were not aware that any was planned. This meant that staff did not completely understand the safeguarding procedures and may not identify the possibility of abuse and prevent it before it occurs, and that people were being put at risk.