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Archived: Allied Healthcare - Plymouth

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Inspection report

Date of Inspection: 4 November 2013
Date of Publication: 28 November 2013
Inspection Report published 28 November 2013 PDF

People should be treated with respect, involved in discussions about their care and treatment and able to influence how the service is run (outcome 1)

Meeting this standard

We checked that people who use this service

  • Understand the care, treatment and support choices available to them.
  • Can express their views, so far as they are able to do so, and are involved in making decisions about their care, treatment and support.
  • Have their privacy, dignity and independence respected.
  • Have their views and experiences taken into account in the way the service is provided and delivered.

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 4 November 2013, talked with people who use the service and talked with carers and / or family members. We talked with staff.

Our judgement

People’s privacy, dignity and independence were respected and their views and experiences were taken into account in the way the service was provided and delivered in relation to their care.

Reasons for our judgement

We saw the service user guide that was given to people when they received a service from Allied Healthcare. The guide stated that “any decision or action that must be taken will be done with your full consultation”. The guide also included details of useful contacts including the local advocacy service and how to make a complaint.

We looked at five care plans and saw reference to people’s preferences and things that were important to them had been recorded. In one care plan it stated that it was important to “place a towel over my legs when using the commode for dignity”. In another care plan we noted that it was the person’s preference to have a daily shower and another person had identified that one of the outcomes they hoped to achieve was “independence and my privacy for some aspects of my support”. We saw in another care plan that privacy and dignity was important to the person and this must be respected. This showed that the organisation identified what was important to people and appropriately recorded this.

We spoke with four care staff on the day of our visit and asked them how they ensured they maintained the dignity and respect of people they worked with and involved people in their care. One carer told us that they “acknowledged the disabilities that people had and their wishes on how they would like things done; keeping dignity when washing and dressing, using a towel to cover people to maintain dignity was important”. They went on to say “the biggest part is getting to know people finding out how they like things done; getting to know their routines”. Another carer told us a cleaner was usually at the house when they visited so they ensured that the door was closed when they were undertaking personal care tasks and that the curtains were pulled to prevent people from seeing into the room. They said they asked people what they would prefer to eat and what they would like to drink, what they wanted to wear and what make up they wanted. They said “it is about thinking about the choices you would want to make for yourself”.

We spoke with another carer who told us that they always asked the person’s consent before doing any task. They said “I talk through what I am doing and keep people covered as much as possible. I let people do as much for themselves as they can, I do what they can’t do; I promote their independence”. This showed that staff were clear about the importance of treating people with respect and dignity and involving them in their care.

We spoke with four people, one close relative and undertook a home visit during our inspection. Everyone we spoke with told us that they had felt fully involved in making decisions about the care they received. One person told us that they had “no trouble, they are very, very good people. They treat me with respect and listen to what I have to say.” Another person told us that “staff were very kind. They tried to adapt to what I wanted. Trying to find the best time for me to go to bed and involving me. I feel very much involved in my care”. The wife of a person receiving care told us that “someone came out and told us what to expect, the services that were available and asked what we wanted. We are treated respectfully and my husband is encouraged to do as much as he can, they help him when needed”. Another person told us that care was “developed with me. A lady from the office came and listened to me she took notes of what I wanted.” This showed that the people we spoke with felt respected and fully involved in their care.