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Archived: Carewatch (Derby)

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All reports

Inspection report

Date of Inspection: 16 January 2012
Date of Publication: 29 February 2012
Inspection Report published 29 February 2012 PDF

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

Not met 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

Our judgement

Although people receive care and support in line with their wishes and enables them to maintain an independent lifestyle. The agencies documentation for people does not support this and may leave people vulnerable and at risk.

User experience

People told us “they felt comfortable with the care and their carers and they did everything just right for them.” We were told by one person that “they were fortunate and very appreciative of what the agency does for them.”

People we spoke with told us they felt they were well looked after, had no complaints and that they had regular carers

People we spoke with were able to tell us about how their privacy and dignity is respected when assisting with personal care. The care and support provided by the agency is in accordance with service users’ wishes and beliefs.

Other evidence

We viewed four care records and had a discussion with the registered manager and operations manager about them. The records we viewed contained the required documents that allow for a planned home care service to be delivered. We were told that each person has a care plan, developed by the agency’s senior staff, which details the services and help needed to maintain the person in their own home.

We noted that care plans were not personalised to the person receiving the care, and did not always give prompts to the carer regarding how the personal care should be given.

Important information regarding people’s medication was not recorded on the care plan, and where it was recorded, carers were not complying with the directions. Care staff were required to prompt the person to take their medication; however carers were administering medication and recording this on a MAR sheet.

We found in the records of one person that they were on oxygen, but this was not recorded in their care plan. This information was on a nursing assessment towards the back in the records. This may be an issue if new staff are attending the person.

Risk assessments were incomplete and were not linked to the care people received. For example, in one care record we looked at the needs assessment stated the person was at risk of choking but the risk assessment made no reference to this.

Communication sheets are used to record attendance and record the visits.

We viewed several of these and found the recording was appropriate. The agency then reviews these at regular intervals as part of monitoring the service and supervision of the carers.