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Inspection report

Date of Inspection: 10 September 2012
Date of Publication: 1 October 2012
Inspection Report published 1 October 2012 PDF

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

Our judgement

The provider was meeting this standard. 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.

User experience

We spoke with people using the service and asked them about their safety and wellbeing. People told us they were confident to approach a member of staff or the registered manager if they were unhappy or had concerns about any aspect of their care. People were complimentary about individual staff that helped them with their personal care needs. One person said “I feel totally comfortable with the staff.”

We observed people were supported safely by staff. People moved around the service independently or with support. People’s liberty was not restricted and staff responded to people’s verbal requests or gestures used to communicate their wishes.

Other evidence

Our inspection of September 2011 found some staff had not received formal training in safeguarding people from abuse. The provider wrote to us and told us all staff had received training in safeguarding people from abuse.

We visited the service on 10 September 2012 and found the service had policies and procedures in place for safeguarding vulnerable adults and whistle-blowing.

Staff understood the policy for safeguarding and their responsibilities with regards to the safeguarding and the protection of vulnerable adults. Staff had good knowledge about types of abuse and the action to take in the event of any allegation or suspected abuse. Staff had received training in safeguarding of vulnerable adults as part of their induction training and mandatory training updates. The newest member of staff told us they received a staff handbook, which contained information about the key policies and procedures and what staff should do in the event a concern was reported to them.

Staff said the service had a whistle-blowing policy in place and understood their responsibility to report concerns about poor or unsafe delivery of care. Staff were confident to report any concerns if witnessed that affected the health and safety of people using the service.

We looked at the staff training matrix and found that all staff completed the safeguarding of vulnerable adults training, as part of their induction training and was updated annually. Staff also received training dementia awareness, which increase their awareness and understanding when support people with dementia.

Staff had a good understanding of the Mental Capacity Act, deprivation of liberty safeguards and their role in its application. The Act is designed to protect people who cannot make decisions for themselves or lack the mental capacity to do so on a permanent or temporary basis. Staff were aware of the external agencies such as the local authority and advocacy services that could offer support and advice to people. Staff gave us examples of how they promoted and supported people to make decision. Staff said care plans included details of the agreed best interest decisions to support the person safely. We read a care plan for a person with a deprivation of liberty safeguard, which detailed the agreed support arrangements to ensure the care and support provided was appropriate.

There were policies and procedures in place to help manage risks and minimise the potential for harm or abuse. Risk assessments were in place to support the appropriate moving and handling of people. These included moving and handling and falls management amongst others.