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We are carrying out a review of quality at Amara Care Limited. We will publish a report when our review is complete. Find out more about our inspection reports.
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Inspection report

Date of Inspection: 10 June 2013
Date of Publication: 27 July 2013
Inspection Report published 27 July 2013 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

We looked at the personal care or treatment records of people who use the service, carried out a visit on 10 June 2013, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members, talked with staff, reviewed information given to us by the provider and reviewed information sent to us by commissioners of services. We reviewed information sent to us by other authorities, talked with commissioners of services, talked with other authorities and took advice from our specialist advisors.

We used a number of different methods to help us understand the experiences of people using the service, because some of them had complex needs which meant they were not able to tell us their experiences of using the 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

People who used 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.

Since the last time we inspected the service we received two safeguarding concerns that were passed to the local authority to investigate. These involved an anonymous whistle blowing allegation from an ex member of staff and a complaint that was made by a person who used the service, which involved an issue of possible restraint.

We were told by the local authority they had been unable to substantiate the allegations that were raised by the whistleblower, but had yet to reach a decision concerning the complaint that had been made. A meeting was planned to take place in the near future with the provider and local authority staff, to conclude their investigation of this matter. However we were told the individual for whom the complaint related was no longer supported by the service. The local authority told us they had been unable to clearly evidence specific staffing hours allocated for one individual, but had addressed this with a colleague, who assured us that overall they were satisfied with the provider in these respects.

People who used the service told us they “Really like the service provided by Amara” and that they felt safe with the staff. We observed that people appeared happy and at ease with the staff and saw that they interacted with them in a positive and encouraging way. Relatives told us they had confidence in the provider and maintained regular contact with their members of family, who were supported by the service. One relative told us the service always “Keeps me informed” about incidents, whilst another told us about how staff had supported their member of family to ensure their rights were protected when they were unwell.

We checked the financial records of people who used the service and saw evidence of appropriate accounting systems that were maintained. A relative told us their family member was supported to maintain their own separate bank account and that state benefits were paid directly into this.

Policies and procedures were in place and available to guide staff, when addressing issues of potential abuse to ensure people who used the service were protected from harm.

We saw evidence of training about the protection of vulnerable adults and children that had been provided to staff, as part of their induction and training development programme. We were told this training was updated regularly and included specialist training to ensure staff knew how to safely manage behaviours of people who may challenge the service.

We found that staff demonstrated a commitment to their roles and had a clear understanding of their responsibilities to ensure people who used the service were safeguarded from harm.

Records of incidents and appropriate safeguarding referrals made by the service to the local authority for investigating by them were seen. The provider may wish to note we had not always been officially notified about these; however the manager assured us they would ensure this matter was addressed correctly in the future. We saw evidence the provider had instigated disciplinary procedures concerning unacceptable staff working practices that were followed.

We checked the files of the most recently employed member of staff and found evidence that appropriate recruitment procedures and checks had been followed, to ensure they were safe to work with people who used the service.