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Archived: PRC Outreach Services

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Inspection report

Date of Inspection: 6 August 2012
Date of Publication: 28 August 2012
Inspection Report published 28 August 2012 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

Our judgement

The provider was compliant with this standard. People experienced effective, safe and appropriate care and support, but care plans did not always give sufficient direction to staff.

User experience

We spoke with three people who use the service to seek their views of the service. Everyone we spoke to said that their carers always stayed for the full amount of time they were meant to stay. Specific comments made regarding the carers and the care that they provide included:

• "Always on time, and usually the same carers"

• “They’re lovely”

• “Fantastic, more than pleased”

• “Nothing but kindness shown to us”

One person said that care staff were sometimes late for visits, but that they always phoned ahead or sent a text if this was going to happen.

Other evidence

During the inspection we looked at the documentation, including care plans, risk assessments and visit records for three people who used the service. We saw that the care needs of people were assessed prior to the delivery of the service, with written evidence completed by Social Services and Live Life Care Ltd. One file we saw did not contain this information.

As mentioned in outcome one of this report we saw that the care plans did not always give sufficient direction to staff, and this meant that there was a potential increased risk that the care provided may not meet the needs of the individual.

Care records were consistently returned to the office from people’s homes on a regular basis for safekeeping. The service used carbon copy duplicate books to record the care provided. Where care was delivered in the individuals home the book was kept there, with the tear out copy returned to the office. Sometimes the care was provided in the community, in which case the individual was given the tear out copy and the service retained the book.

The visit records did not include times of arrival and departure at appointments, but these were supported by weekly timesheets which did. These were submitted to the office every week and the manager cross referenced the visit records with the timesheet submitted. The timesheets also included travel time between appointments. Times of arrival were seen to be largely consistent and reliable. The agency anticipated the installation of a new electronic ‘log-in system’ in the very near future.

Risk assessments were in place in the files seen. Risk assessments included potential hazards posed by the environment the care staff were visiting.