Archived: West Dorset

26 Parkstone Road, Poole, Dorset, BH15 2PG (01202) 687687

Provided and run by:
Regional Care Services (Winchester) Limited

Important: The provider of this service changed. See new profile

All Inspections

3, 12, 22 July 2013

During a routine inspection

We inspected Carewatch West Dorset as part of our planned programme of inspections. We also followed up on compliance actions which we set during our inspection on 26 February and 18 March 2013.

During this inspection we met with four people who used the service and spoke with four family members of people who used the service. People told us that care workers were kind and helpful. People also told us that the care workers were kind and helpful. One person told us "They are far superior to any of the other agencies we have used".

During our previous inspection we found that the agency did not have effective assessments in place to monitor the risk of malnutrition or people's capacity to make decisions, give their consent and take informed risks. We also found they did not have satisfactory staff recruitment procedures or enough staff to meet the needs of the people they were caring for. We checked all of these issues during this inspection. We found that appropriate systems were in place and being used to check nutrition and people's mental capacity regarding decisions making and risk taking. We also found that more staff had been recruited and all newly employed staff had been properly checked.

During this inspection we found shortfalls in the way that people's medication was administered and recorded. This meant that people could be at risk of not receiving the correct medication.

26 February and 18 March 2013

During a routine inspection

During our inspection we met with four people who received care from the agency and two family members. We also met three care workers. Everyone we spoke to was positive both the office staff and the care workers and very happy with the care they received. One person told us their care worker "was the best I have ever had".

We found that the agency respected people and involved them in the planning and delivery of their care. Everyone we spoke to said that they felt the care workers met all of their needs and if time allowed care workers would ask if other help was required and spend time chatting and socialising.

We found that the agency had not carried out some risk assessments relating to people's care needs, so may not have identified some areas of concern or taken action to reduce risks.

We found that staff recruitment procedures had not been properly followed. This meant that not all of the required checks on people to ensure their suitability to work with vulnerable people had been carried out.

Some office staff were working long hours also providing care whilst new staff were being recruited. There was no indication that this was affecting people's care but new customers were being accepted before suitable numbers of care workers were employed. We also found that there was a lack of training and knowledge of the Mental Capacity Act 2005 and Mental Capacity Act Code of Practice 2007.

14 June 2012

During an inspection looking at part of the service

We did not talk with people about their experiences of receiving care from the agency at

this inspection. We talked with people who used the service at our last visit to the agency.

Information about what they told us can be found in our last inspection report which was

carried out in June 2011.

14 February 2012

During an inspection looking at part of the service

We did not talk with people who use the service about the care they received at this inspection. We talked with people who use the service about their care at our last inspection in June 2011. Information about what they told us can be found in our last inspection report which was published in July 2011.

22, 27 June 2011

During a routine inspection

We spoke to a total of ten people who use the agency about the care they receive. Most people were very satisfied with the way they were treated by their care workers and described them as respectful, courteous and kind. The majority of people also reported that care workers were mindful of their privacy and dignity when helping them with their personal care. They told us that they felt that their regular care workers understood their needs well and were aware of their preferences. People knew who they needed to talk to if they wanted to change any aspect of their care.

People who use the service told us that the agency had liaised with their respective care managers in order to review how their needs could be met. We did not receive any concerns about the way the agency has worked with other professionals.

People who use the service told us that care workers always wore gloves and aprons when providing their personal care. People were very satisfied that care workers were conscientious in this area although they were not clear that all care workers washed their hands when visiting them.

We visited five people who use the service, all of whom required some support with medication or the administration of creams. All five people told us that they received the assistance they needed to take their medication and that care workers always remembered to apply their creams. People told us that they had confidence in care workers' ability to use equipment safely, for example, where they needed a hoist to be able to transfer. They reported that they always received visits from two care workers where this was required for them to be able to mobilise safely.

Most people with whom we had contact during our review reported that they felt their care workers were suitable for the work they were employed to do. Comments we received indicated that the service people received from the agency was reliable and generally very punctual. People told us that they had never experienced missed visits and had confidence that someone from the agency would always turn up to provide their care. Some individuals felt the service could improve by ensuring that they were informed of the names of care workers who were due to visit them where visits were marked as 'unallocated' on their weekly rotas.

Some people commented that their care was not as good when their regular care workers were not working or were on leave because the carers supplied on these occasions were not as familiar with their needs. They felt that the agency needed to make improvements in this area to promote continuity of care.

Three people we talked to commented that at times care workers appeared to be in a rush when providing their care. Two people told us that this had impacted on them in a negative way because care workers had not completed tasks as thoroughly as they should.

Nine out of ten people who we made contact with as part of our review told us that they felt confident about reporting any concerns to the manager and would not hesitate to do so. Some people gave us examples of situations where they felt their comments had been listened to and changes made as a result.

People who use the service did not voice any concerns about the way their personal information and records were handled by the agency.