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Alina Homecare Specialist Care - Poole Requires improvement

All reports

Inspection report

Date of Inspection: 17, 18, 21, 22, 28 July 2014
Date of Publication: 13 September 2014
Inspection Report published 13 September 2014 PDF

Overview

Inspection carried out on 17, 18, 21, 22, 28 July 2014

During a routine inspection

One inspector carried out this inspection and the registered manager was present throughout our visits to the office. The Care Division � Poole provided a service to 57 people at the time of our inspection.

The summary describes what people using the service, their relatives and the staff told us, what we observed and the records we looked at. If you want to see the evidence that supports our summary please read the full report.

We considered our inspection findings to answer questions we always ask:

� Is the service safe?

� Is the service effective?

� Is the service caring?

� Is the service responsive?

� Is the service well-led?

This is a summary of what we found.

Is the service safe?

People�s care was planned and delivered in a way that was intended to ensure their safety and welfare. For example, we saw that care plans covered people's physical health needs, including epilepsy and swallowing difficulties, and set out how staff should support them to remain safe. Although we did not observe any intimate care, we saw that people were receiving support as specified in their care plans. For example, when we arrived to visit one person, they were tilted in bed in the position that their care plan said they needed to help drain fluid from their chest. Their care notes recorded that staff had tilted them each day in accordance with their care plan.

Where people displayed behaviours that challenged others, care plans contained behaviour guidelines that set out how they behaved when they were feeling settled and happy and how their behaviour changed when they became distressed. The behaviour guidelines were set out in language that was positive about the person and gave clear instructions for how staff should respond to different types of behaviour.

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. One person told us they felt safe with their workers and that staff were careful with their property. The other people we met looked relaxed and happy with the staff who were supporting them. The five support workers we spoke with confirmed they received regular training in safeguarding vulnerable adults against abuse and were all aware of signs or issues that could indicate abuse.

Staff received the training they needed in order to perform their roles satisfactorily. We spoke with five support workers, who all confirmed that they received regular mandatory training. They said that staff from the office checked their training was up to date and called them in for any updates that were due.

Is the service effective?

People were provided with a choice of suitable and nutritious food and drink. Information was available for support workers about people�s food preferences and dietary needs. People�s care logs and food diaries recorded that staff had supported them to eat a range of healthy foods that were consistent with their food preferences and dietary needs. The person we spoke with told us their support workers helped them to make a menu plan every week and encouraged them to choose food they liked that was healthy.

People were supported to be able to eat and drink sufficient amounts to meet their needs. We observed that a person�s support worker assisted them to sit in an upright position and supervised them while they were drinking, as their care plan specified. Another person�s care plan stated that they were able to prepare snacks and cook meals with staff support to ensure their safety. The person told us they liked cooking together with their support workers.

Is the service caring?

The person we spoke with told us their support workers were kind and polite. During our visits to people, we saw that staff interacted with them in a respectful manner. Care plans gave detail about people�s individual communication styles, including the gestures and facial expressions they used to indicate pleasure and displeasure.

Is the service responsive?

People's needs were assessed and care was planned and delivered in line with their individual care plan. The care plans we looked at reflected people's assessed needs and contained clear, detailed instructions so that support workers provided the help and support people needed. They were individualised, setting out details of people�s daily routines and reflecting their known preferences and communication styles. Staff were familiar with people�s care needs, which helped ensure that people received the support they needed. A person told us that staff followed their care plan and that they were happy with the support they received.

There were enough staff to meet people�s needs. The person we spoke with told us their support workers were �good� and said they had a regular team of staff. Records of care given for the previous three weeks for the people whose care we considered showed that people had a consistent team of support workers.

People were supported to be able to eat and drink sufficient amounts to meet their needs. Care plans set out any support people needed with preparing food and drinks and consuming them.

Is the service well-led?

The provider had an effective system to regularly assess and monitor the quality of service that people receive, and to identify, assess and manage risks to the health, safety and welfare of people who use the service and others. There was a system in place to ensure that staff followed The Care Division - Poole policies and procedures, and staff had opportunities to give their views about the running of the service. The staff we spoke with told us they received regular supervision. Records of supervision meetings showed that staff discussed their performance in their role and had the opportunity to raise any issues that they wished. Audits were regularly undertaken to check that staff and records complied with the provider�s policy and procedures. There was evidence that learning from incidents took place and appropriate changes were implemented. Incident records showed that each report had been reviewed by a senior member of staff, who had taken action where necessary. A member of staff who participated in the �on call� rota told us that the managers were �definitely� supportive if they needed to contact them.