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Archived: Tonna Care Services Limited

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Inspection report

Date of Inspection: 10, 12 February 2014
Date of Publication: 14 March 2014
Inspection Report published 14 March 2014 PDF | 73.85 KB

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

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 February 2014 and 12 February 2014, 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 and reviewed information given to us by the provider.

Our judgement

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.

Reasons for our judgement

People’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan. We looked at the needs assessments and care plans for nine people. The care plans were signed and dated by the person using the service, or their carer, or advocate. The service reviewed the care plans to keep them up to date. Changes in care plans were clearly documented.

Care plans contained risk assessments that were highly detailed and individualised. It was clear the service recognised that people needed to have control over their lives and were supporting people to remain as independent as possible by providing the right level of support.

Care plans contained information from other health and social care professionals, such as GP's, hospital specialists, community nurses, dentists, social workers, behaviour specialists and/or psychologists. We saw that people were supported by staff to attend social and/or health care appointments. New information, such as changes to support needs, or medication, was recorded in people’s care plans. Staff told us additional information was also stored in people’s homes to ensure appointments were kept.

Staff told us they provided support in a way that maintained people’s self-care skills and independence. The care plans were based on helping people to make meaningful decisions about their daily lives and to take appropriate risks. We spoke with two relatives about the quality of care provided. One relative told us, "The staff know when X is tired. They ensure X doesn’t over-do it. They are very good at structuring X’s day.” Another relative said, “The staff help X to learn new things, they improve X’s independence.”

We spoke with staff during our visit to the agency's office. The care staff told us they usually worked with the same group of people every week and that changes to routines were kept to a minimum.

Staff spoke knowledgably about the needs of people they worked with. They knew what to do in various types of emergency. They said they had received training in how to handle different situations, illnesses and emergencies and their staff files contained training certificates that confirmed this.