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Archived: Keystone Healthcare Limited

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Inspection report

Date of Inspection: 18 November 2013
Date of Publication: 18 December 2013
Inspection Report published 18 December 2013 PDF

People should be treated with respect, involved in discussions about their care and treatment and able to influence how the service is run (outcome 1)

Meeting this standard

We checked that people who use this service

  • Understand the care, treatment and support choices available to them.
  • Can express their views, so far as they are able to do so, and are involved in making decisions about their care, treatment and support.
  • Have their privacy, dignity and independence respected.
  • Have their views and experiences taken into account in the way the service is provided and delivered.

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 18 November 2013, talked with people who use the service and talked with carers and / or family members. We talked with staff.

Our judgement

People’s privacy, dignity and independence were respected.

Reasons for our judgement

People expressed their views and were involved in making decisions about their care and treatment. People who use the service were given appropriate information and support regarding their care or treatment.

People and relatives we spoke with confirmed that they were involved in discussions regarding their care. During our visit we looked at four people’s care records and saw that people using the service had needs and risk assessments carried out at service inception. We saw family members, and where necessary other professionals, were involved in discussions to agree their care plan and the number of care hours the person would receive. This showed that people using the service and relevant others were involved in agreeing their care and support.

We looked at four care plans and saw they were signed by the person using the service or relevant other, confirming their involvement in care planning. We saw that people’s preferences were recorded, for example one person’s care record stated, ‘Will have a male carer.’ We also saw that decisions people made during their visits were recorded in their daily records, for example, ‘Declined to have a drink.’ This showed that people were involved in making decisions about their care and support.

People’s privacy was respected. People using the service we spoke with said that modesty sheets were used, if required, when receiving personal care. People using the service and their relatives also confirmed that support workers were friendly and respectful while in their homes. They told us there was great continuity of care, where people using the service were supported by their usual support workers.

We spoke with two support workers who delivered care to people in their homes. They were able to describe how they maintained people’s privacy and dignity while supporting people with their personal care needs. Both staff members said people using the service were encouraged to do as much for themselves as possible to help promote their independence.