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Archived: Allied Healthcare - Cambridge

This service was previously registered at a different address - see old profile

All reports

Inspection report

Date of Inspection: 10 April 2014
Date of Publication: 7 May 2014

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 10 April 2014, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with carers and / or family members, talked with staff and 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

During our inspection of 24 September 2013 we found that the care and welfare of people was not protected because care plans and risk assessments did not provide the necessary information to meet people's needs. We judged that this had a moderate impact on people who use the service, and told the provider to take action. The provider wrote and told us that it would be compliant with this standard by the 31 January 2014.

At this inspection of 10 April 2014, we found that the provider had made changes and introduced improvements to these areas of non-compliance.

We looked at five people's plans of care. We saw that the people's assessed care and support needs were being met. Information and guidelines were provided for staff to ensure that they could provide appropriate care and support to people. Information included, but was not limited to, people's likes and dislikes and their preferred gender of carer. People were able to choose the level of support and care they needed to meet their assessed needs safely and effectively. People’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan.

Improvements and changes made to people's risk assessments meant that only appropriate risk assessments were in place and that the identified level of risk was accurate. This included those for people at risk of falls, people with behaviours which challenged others and people at risk of malnutrition. Where the level of risk was identified as high, we saw that the provider had made referrals to external healthcare professionals for things such as falls assessments and nutritionists for those people who required additional support to maintain their health and wellbeing. Care and treatment was planned and delivered in a way that was intended to ensure people’s safety and welfare.

One person we spoke with said, "I am generally cared for by the same staff each time they visit me in my home. They (staff) always treat me with dignity and respect."

Another person told us, "They do everything for me including all my personal care. They are all so nice and friendly and they are like a family to me."

People's care plans we looked at had been reviewed regularly and according to the needs of each person. We saw that although an annual review had been completed for each person, a more frequent or urgent review had been carried out where a person's needs had changed. For example, if the person had just returned to their home from a hospital visit or their health condition had changed.

People's daily care records were found to contain the level of detail which accurately described the care each person had been provided with. This also included where professional healthcare visits had been provided. People could be confident that their healthcare needs would be met reliably.

Care plans we looked at demonstrated to us that people's choices were respected. This included those for personal care, times for getting up and going to bed and also people's cultural beliefs and values, especially where the person's diet required particular foods. People with reduced mobility were supported in a way which respected their dignity but also ensured they were cared for in a safe way.

Staff training records we looked at demonstrated to us that staff had received recent training on first aid and basic life support. All of the staff we spoke with were able to describe what action they would take in the event of an emergency such as finding someone who had fallen or collapsed. This included contacting the emergency services and reporting the incident to the provider. We also saw that in severe weather the provider had plans in place to support those people with the most urgent needs. This meant that there were arrangements in place to deal with foreseeable emergencies.