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Archived: Allied Healthcare - Newbury

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Inspection report

Date of Inspection: 8 July 2014
Date of Publication: 8 August 2014
Inspection Report published 08 August 2014 PDF | 86.98 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 8 July 2014, 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 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

People’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan. All of the care plans had been reviewed and revised in a new format since September 2013. Each person had a weekly timetable of calls and details of the care support to be provided. The plans included information on people’s history and interests to varying degrees, to support their care. Care plans contained information about the aspects of care which people could still manage and where this could be achieved with minimal support. They also provided detailed information for staff on how to meet the identified care needs. The staff we spoke with confirmed that an up to date care plan was available to them in each person’s home and that the care plans were reviewed. Significant changes to care plans between reviews were notified to the relevant staff. The people and relatives we spoke with had all been consulted and involved in devising care plans and in review discussions. This meant that people’s care plans reflected their wishes and met their needs.

Care and treatment was planned and delivered in a way that was intended to ensure people’s safety and welfare. Care plans were supported by relevant risk assessments in areas including manual handling, falls, nutrition and skin integrity. We saw up to date risk assessments in each of the files we looked at. Each person also had a risk assessment regarding the safety of the home and its immediate location from the point of view of the person themselves and the staff. Suggestions had been identified for changes to address some of these where possible. However, the manager may find it useful to note that identified risks were not always addressed specifically within the care plans. In most cases associated care was indicated but the link to the identified risk was not explicit. We saw that support had been sought from external healthcare specialists where the need had been identified.

The agency had recently introduced an ‘Early Warning Screening’ log system. This required staff to log whether there were, or were not any new concerns about the wellbeing of the person supported at each visit. This system was to act as an early warning of changes in people’s health or support needs. Staff delivered the care in a way that respected people’s wishes and preferences for the most part. One person told us: “the carers are all very good.” A family member told us: “they care very well for (my relative)”. These things meant that people received the care they needed to help keep them safe and well.

The manager said that dementia care training had been provided to all staff over several sessions in June to ensure that everyone had the knowledge to support them with providing care to people with dementia. Additional dementia training was also planned for key staff to further enhance the skills and knowledge available within the team.

CQC monitors the operation of the Deprivation of Liberty Safeguards (DoLS) which applies to care homes and to domiciliary care agencies where they provide support to people within a supported living setting. This legislation protects people within care homes and supported living settings from unnecessary restrictions being placed on their liberty. The agency was not providing support to anyone within supported living at the time of this inspection so they did not have to have regard to this legislation.