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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 | 84.16 KB

People should be protected from abuse and staff should respect their human rights (outcome 7)

Meeting this standard

We checked that people who use this service

  • Are protected from abuse, or the risk of abuse, and their human rights are respected and upheld.

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 who use the service were protected from the risk of abuse, because the provider had taken reasonable steps to identify the possibility of abuse and prevent abuse from happening.

Reasons for our judgement

We saw the care workers handbook that was given to all staff. The handbook had a section about safeguarding and noted that staff had a duty of care to report any concerns or incidents that occurred if they thought any adult or child was being abused or was at risk of being abused. The handbook included detailed guidance for staff about what to do if they had concerns that someone was being abused. The guidance also advised staff to follow up after twenty four hours of contacting the office and ask what had happened to the safeguarding referral. The handbook referred to professional boundaries and gave guidance to staff on not accepting or giving gifts and not being involved as a witness or named in a person’s will. The service user guide that was given to people receiving services also included information about abuse and contacts of the local safeguarding team. This showed that the organisation had guidance in place for staff and people they supported regarding safeguarding adults.

We spoke with four care staff who had worked for the organisation from between eleven months and eight years. All of these staff told us they had received safeguarding adults training and were able to tell us the possible signs of abuse and action to take if they suspected abuse. They knew where to access the local safeguarding policy and had necessary contact numbers if they needed to report possible abuse.

Two members of staff told us that they had personal experience of making a safeguarding alert. One person told us they would “look for signs not normally there such as anxiousness, bruising, soiling and changes in behaviour”. She went on to tell us that she had noticed that a person she was caring for became incontinent in bed and told her she did not want to wash. The carer explained that she had asked the person what was wrong and they had been able to tell her. She had not logged the information in the person’s diary log as it was seen by family members but had contacted the office immediately. As a consequence a safeguarding referral had been made and action taken the same day to keep the person safe.

Another carer also told us that they would look for changes in the person’s mood and possible physical signs. They went on to say that they had observed bruises on a person’s arm and the person had told them how this had happened. The carer had explained to the person that they had to report this but the person was reluctant to get anyone into trouble. The carer told us that she had explained that she had a duty of care and had to inform her manager of what had happened.

This showed that staff were aware of signs to look for that could indicate possible abuse and had the confidence to take appropriate action when they suspected abuse had occurred.