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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 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 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 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 spoke with people who use the service and their relatives. They told us they felt safe receiving care from Nottingham DCA staff and had never seen anything that caused them concern. One person’s relative told us “She's (relative) not at all unsafe. She can be very challenging herself and they have handled her really well, they recently dealt with a very challenging situation with another person.” A person who used the service told us “I’m safe. I’m not frightened of anything. They’re (staff are) ever so good.”. All the people we spoke with told us they would raise an issue with the provider and were confident it would be dealt with.

We spoke with care workers. They were able to describe the signs and types of abuse and were aware of their role in raising a concern. None of the carers we spoke with had raised a concern whilst working at Nottingham DCA. We saw that the provider had raised issues in the past. Each time they followed the procedure as described in the safeguarding policy, referred the issue to the local authority and informed CQC. We saw that in all cases the issue was resolved. This shows that the provider responded appropriately to any allegation of abuse.

We saw staff training records that showed 54 of 64 staff had received training in safeguarding adults and that remaining staff were booked to attend training or complete online learning. We saw that safeguarding training was included as part of the induction process for new staff and that staff must pass an assessment to show their understanding of the subject. One person we spoke with told us “ We had training it was really good. We've recently done safeguarding for children and that was fantastic the company they got in was really good. You learn about the new regulations and any changes you get updated.” A second person told us “I really enjoyed it. We had sessions on what to do if you are raising an alert; we have a single point of access for making a referral.” The provider has a clear safeguarding policy which is available to all staff, along with the local authority safeguarding vulnerable adults' policy. Further copies of the policies are available in the homes of people who use the service.

The provider had robust procedures for the management of peoples fininances where required. We saw that court protection orders were in place and detailed records of income and expenditure were recorded.

Care workers we spoke with were aware of the provider's whistleblowing policy and were confident they could raise an issue and it would be dealt with.