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Archived: Penwith Care Requires improvement

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Inspection report

Date of Inspection: 25, 28 July 2014
Date of Publication: 7 October 2014
Inspection Report published 07 October 2014 PDF

Overview

Inspection carried out on 25, 28 July 2014

During a routine inspection

We carried out this inspection as a response to receiving information of concern in relation to the quality of care provided by this service. During our inspection of this service we considered our findings to answer our five questions; Is the service safe? Is the service effective? Is the service caring? Is the service responsive? Is the service well-led?

Below is a summary of what we found. The summary is based on our observations during the inspection, speaking with people using the service, their relatives, the staff supporting them and from looking at records.

If you want to see the evidence to support our summary please read the full report.

Is the service safe?

On the day of our inspection people who used the service were safe. People told us the felt safe with their care staff. People's comments included �I do get on well with them, I think they like coming here� and the staff �are very nice people�.

The provider had effective policies and procedures in place to ensure that people who used the service were adequately protected from the risks associated with the management of their medications.

People were, however, exposed to some unnecessary risks as pre-employment checks for new members of staff had not been completed. In addition risk assessments had not been completed for two of the six people whose records we inspected.

Is the service effective?

At the time of the inspection the service was effective. People told us the care they received was �brilliant, absolutely brilliant� and �everything I need, they do�.

We found that most people who used the service had detailed care plans that effectively directed and informed staff of people�s care needs, however, there was no care plan available in one of the files we inspected. Daily care records included sufficient information and accurately recorded the care provided to each individual.

Is the service caring?

We found that the service was caring at the time of our inspection. People told us the staff �are very nice people� and �fantastic people, great at every aspect of their job�.

Staff members told us they enjoyed their work and felt the service provided good care their comments included �I love it� and �I am really enjoying it�.

Is the service responsive?

At the time of the inspection we found the service to be responsive. We saw Penwith Care was in the process of conducting a survey of people who used the service and people told us �I�ve just had a survey to do, it had about 20 questions. This is the second one this year�. The previous survey completed in September 2013 had been positive and we saw that the service regularly received thank-you cards from people who used the service and their relatives.

We saw that issues reported to managers by staff and people who used the service had been effectively investigated and resolved. People who used the service told us they knew how to raise concerns with the management of the service, their comments included �I always go straight to the top one. She was her last week and told me to give her a ring if I needed anything� and �head of them came here yesterday�.

Is the service well led?

At the time of the inspection we found that the service was not well lead.

We saw that new members of staff had not received a formal induction and that established members of staff had not received supervision or appraisals.

Staff members told us �the manager is good at the job, amazing with clients but not as good with staff�.