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Archived: Focused Healthcare Limited

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All reports

Inspection report

Date of Inspection: 25 October 2013
Date of Publication: 14 November 2013
Inspection Report published 14 November 2013 PDF

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 25 October 2013, checked how people were cared for at each stage of their treatment and care and talked with carers and / or family members. We talked with staff and received feedback from people using comment cards.

Our judgement

Care was planned and delivered in a way that was intended to ensure peoples safety and welfare.

Reasons for our judgement

People's needs were assessed and care was planned and delivered in line with their individual care plans. All new assessments were undertaken by an experienced children’s nurse. Parents received detailed information about the service when care commenced. This included a shared agreement about how their child’s needs would be met.

Each child had a detailed care plan. We saw care documentation for eight children. Care had been planned and reviewed regularly. The care plans we read were agreed and signed by a parent. Most parents we spoke with were pleased with the quality of the care, care planning and the way staff worked with them. One parent said, “the carers are careful, conscientious and thoughtful.” A parent described how care staff supported their child with their social and cultural needs. Another said, “they are thorough, caring about our family and very accommodating.” However, one parent expressed concerns that communication from the service had not been consistent or regular.

Care was planned and delivered in a way that was intended to ensure peoples safety and welfare. Most children receiving the service had highly complex needs and received continuing care. All care plans contained a range of risk assessments that covered each child’s physical, mental health and social needs. One parent said, “I feel safe leaving my child with the care staff”.

Staff were trained to identify risks and to act quickly if there was a concern. They gave examples how the service increased the level of care when a child’s needs changed. We saw further examples of responsiveness and risk management in care documentation.

There was evidence that the service generally ensured that regular carers worked with each child to maintain continuity of care. Most parents said they had regular care staff visit them who were flexible and kept in touch. However, one parent indicated that the service had had difficulty providing carers who consistently matched their preferences and needs.

Senior staff attended regular multidisciplinary meetings to coordinate care. Staff we spoke with had a good understanding of the needs of the children they cared for.

There were arrangements in place to deal with foreseeable emergencies. Staff were trained in basic adult and child life support and first aid, fire safety, managing incidents and lone working. Senior clinical managers were on call twenty four hours a day. Staff confirmed that they could always contact a skilled on-call manager when they needed to. The service had the capacity to take emergency referrals.

We reviewed incident recording and spoke to the manager and senior staff about emergency management. They gave examples of how staff responded to critical situations and how they were supported. The service had proactive procedures to support staff and families following emergency incidents, which could be life threatening.