The Care Quality Commission

Archived: RV Care Somerset Limited

105 Midford Road, Bath, Somerset, BA2 5RX (01225) 444240

Provided and run by:
RV Care Somerset Limited

Important: The provider of this service changed. See new profile

All Inspections

17 January 2013

During a routine inspection

The people we met and talked with were positive about the staff and the way they were supported by them. They told us "I know the staff will arrive on time and help me in a way I want to be helped. They are lovely. I never want them to leave."

We asked two people if they thought that there was enough staff on duty. They told us that they thought there was sufficient staff. One person said "they never let me down."

We looked at the care files to see if they contained information about people's choices about the care they would like to receive from the staff team. We saw people made choices about the times they wanted a service, the food they wanted to eat and their daily activities.

We saw staff members received training in the protection of vulnerable adults. Staff were able to describe this training, which showed they understood its content. We saw they had a system to receive yearly updates to ensure they knew current information and practises.

The manager monitored and analysed the levels of accidents, incidents and complaints to ensure that people who lived in their own home were safe.

16 January 2012

During an inspection looking at part of the service

We carried out this follow up inspection, to monitor how RV Care had responded to the compliance action and improvement actions we made, when we visited in August 2011. At our last visit we had found that some care plans were reviewed and updated regularly with the involvement of the people who use the service. We had also found that there were care plans that had not been fully reviewed or updated for over a year. On this inspection we found that progress had been made in ensuring that all care plans had been reviewed and updated all though this process was not yet fully completed.

We had found at the last inspection that people who use the service were cared for by staff who had not all been having regular one to one supervision meetings. On this follow up inspection we found that supervision was now taking place for staff directly involved in caring for people who use the service.

We had also found at the last inspection that there was no system in place for periodic checks on aspects of care delivery, including checks of care records. The service was not recording and reviewing any adverse incidents, so as to enable them to learn and improve as a result. We found on this inspection that action had been taken to address the compliance action we made following our last visit. We saw a system being used to check and monitor the overall quality of care and service people receive.

19 August 2011

During a routine inspection

The clients we spoke to, told us how well supported they were by the carers who visited them in their homes. Examples of comments made included 'the carers are excellent without exception', 'the carers are very caring, they always ask if there is anything else they can do', 'the actual staff that do the caring provide a very very good service, nothing is too much trouble', and 'so far I've found them very, very good'. These comments are evidence that clients felt their care needs were met.

Clients also told us that recently there had been problems on a few occasions with staff not turning up to give them the care and support that they needed. We were provided with a detailed action plan, by the recently recruited acting manager, setting out how a shortfall in the numbers of staff employed was being addressed. The acting manager said this had led to occasions where there had not been enough staff due to sickness, to carry out all the visits to clients.

We read some care plans that were up to date and explained what support client's needed clearly and informatively. We also read care plans that were not up to date in content, nor did they show how to support clients with their full range of needs, specifically their psychological needs.

Clients were supported by staff who had done training and updated themselves in their knowledge of clients needs. This meant staff had an awareness and good understanding of the needs of the clients they supported.

Clients were being supported by staff who had not been effectively supported and supervised in their work. The newly recruited acting manager was able to provide evidence in an action plan, that they were addressing this and putting in place a suitable system of staff supervision.

There was a lack of evidence that the overall quality of the services clients received had been monitored and reviewed. The acting manager provided evidence in their action plan, that they were addressing this and were going to put in place a suitable system of quality monitoring of the service clients were receiving.