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Archived: Allied Healthcare Peterborough

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Inspection report

Date of Inspection: 24 October 2013
Date of Publication: 21 November 2013
Inspection Report published 21 November 2013 PDF | 80.6 KB

The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)

Not met this standard

We checked that people who use this service

  • Benefit from safe quality care, treatment and support, due to effective decision making and the management of risks to their health, welfare and safety.

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 24 October 2013, talked with people who use the service and talked with carers and / or family members. We talked with staff and reviewed information given to us by the provider.

Our judgement

The provider had a system to regularly assess and monitor the quality of service that people receive. However, the provider did not always have an effective system in place to identify, assess and manage risks to the health, safety and welfare of people who use the service and others.

Reasons for our judgement

The provider did not always have an effective system in place to identify, assess and manage risks to the health, safety and welfare of people who use the service and others.

During our review of seven people's care records we found that audits and reviews of people's care and support plans had been completed. We saw where changes had been made as a result of these reviews. However, when we checked the provider’s audit reports for the safe administration of people's medicines we found that gaps in three out of seven people's medicines administration and the use of inappropriate recording codes had not been identified. Staff who we spoke with could not positively identify these unauthorised codes. We could not be sure that the audits of people's medication records were effective. There is a risk that appropriate actions and preventative measures would not be reliably put in place to prevent this recurring.

We spoke with eight people (by telephone) the day after our inspection. All of these people confirmed to us that they had either been visited or contacted by the care provider after they started to use the service. This was to confirm that all their care and support needs were being met and that their care was of a good quality. People who use the service, their representatives and staff were asked for their views about their care and treatment and they were acted on. One person we spoke with said, "I honestly can't think of anything that they could do better. I am thrilled with everything".

We looked at the provider's electronic complaints recording and management system. We saw how complaints were recorded, action taken and also reviews which ensured the complainant was satisfied with the way their complaint had been handled. This evidenced to us that the provider took account of complaints and comments to improve the service.

The Care Quality Commission (CQC) has recently been made aware of an increase in the number of missed calls for people requiring care provided by Allied Healthcare Peterborough. The provider has co-operated fully with the local safeguarding authority and the CQC in taking corrective action and putting plans in place to prevent this occurring in the future. The provider showed us their incident recording system which now collected information from the provider’s other locations. The provider told us that, in future, missed calls would be more easily identified. There was evidence that learning from incidents / investigations took place and appropriate changes were implemented.