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Archived: United Response - Nottingham DCA

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Inspection report

Date of Inspection: 26 February 2014
Date of Publication: 9 May 2014

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 26 February 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 sent to us by other authorities. We talked with other authorities.

We were supported on this inspection by an expert-by-experience. This is a person who has personal experience of using or caring for someone who uses this type of care service.

Our judgement

People’s privacy, dignity and independence were respected.

Reasons for our judgement

We looked at the care records of eight people who use the service. All eight showed that the person’s needs had been assessed when they began using the service. The care record included information about people’s needs, abilities and how they wished to be cared for. We saw that the care record was reviewed every six months or when a person’s needs changed. For example we saw that one person’s needs had changed which meant they required more assistance with their mobility . We saw that people who use the service had been involved in discussion and planning their support plans signed to say they agreed to them. This shows that people who use the service understood the care and treatment choices available to them.

We asked people who use the service and their relatives if they had been involved in planning their care and understood the options available to them. They told us they were involved at all stages of planning and assessing care one person told us “(the manager) came to visit us and we told her what we needed and she agreed to it. They do what we asked them for.” Another person told us “ I sit with them when they write in (the support plan)”. We saw that information in support plans was presented in easy read format. This shows that people who use the service understood the care and treatment choices available to them.

Staff we spoke with told us they encouraged people to be as independent as possible one person told us “We ask people what they want to do, if they are able to communicate verbally we devise plans on how we can make that happen for them. We support one lady to go to sports classes. She has tried different things at day centre so we are trying to find something similar in the local area.”. We saw that care records instructed staff to encourage people to maintain independence. For example one care record instructed staff to encourage and support the person to carry out their own shopping. One person who used the service told us “They do care plans. They do they do quite a bit for me, and I help them out with the training side of it too. I do all sorts of activities and mainly do what I want to do. It's all up to me. If I change my mind, I do something else. They respect that.”

Staff told us they maintain people’s dignity and always treat them with respect. One person told us “We always make sure people are covered up if we are providing personal care. We make sure to knock before we enter a room”. Another person told us “I make sure they are comfortable when carrying out any personal care, I talk them through anything that they might be unsure of.” We asked staff if people who used the service expressed a preference for male or female carers and if these wishes were acknowledged. One person told us “We do gender for gender support. We have a policy that says we will always have the preference of the person we support and it is included in their support plan. I’ve never known it to happen but if you can’t get a female carer you would ring around to get another member of staff to come but we always make sure the rota is staffed to cover this.” We saw evidence that confirmed an assessment of people’s wishes was recorded in care plans.

People we spoke with told us staff always treated them with dignity and respect. One person’s relative told us “I do believe he is treated with dignity and respect in a way that's appropriate for him. They help him a lot with personal care. I do think they treat him with dignity.” A second person told us “There’s dignity and respect absolutely, the staff are very good”. This shows that People’s diversity, values and human rights were respected.