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Archived: Continued Care from Oakville Limited

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All reports

Inspection report

Date of Inspection: 11 December 2012
Date of Publication: 3 January 2013
Inspection Report published 3 January 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 11 December 2012, checked how people were cared for at each stage of their treatment and care and talked with people who use the service. We talked with carers and / or family members and talked with staff.

Our judgement

People experienced care and support that met their needs and protected their rights.

Reasons for our judgement

People’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan. People who used the service told us they were extremely happy with the care and support provided. They said the standards of care were ‘high.’

People we spoke with said they felt fully supported by the agency staff. When asked whether staff met people’s changing needs one person said, “Entirely, I don’t want to leave my home and all my cherished things. The carers are good at helping me, without making me feel like a nuisance.”

The manager told us they visited people at home, before they were offered a service. During the initial home visit people who used the service and/or their relatives were involved in making decisions about their care and support. The manager was keen to make sure they worked with the person needing support and listened to what they needed to be able to maintain a quality of life which they wished for. Initial assessments were not rushed and staff took time to develop a care plan, which would work for the person, and this was completely designed around their choices.

On the day of our inspection, we looked at pre-assessment information, care plans and risk assessment documentation. We saw records that showed people had been engaged in person centred planning to enable them to identify their needs, wishes and future plans. Support needs and any risks were identified within these plans. The information provided staff with good information on how people wanted their care and support to be delivered.

We spoke with five staff, including the manager of the agency. They all said that in their opinion people received good care and everyone's needs were appropriately met. One member of staff told us, “We provide a service which is 100%.”

Staff demonstrated a good knowledge of people’s care, support needs, risks and routines. They said the care plans and risk assessments gave them all the information they needed to meet people’s needs. They said there were good systems in place to make sure any changes to people’s needs were reported and care plans were always updated to reflect these changes. People told us they were visited by the same team of care workers and appreciated the continuity this provided. All the staff we spoke with said that consistency and continuity of staff was important in building up a good relationship with people who used the service. They said they worked in small teams to make sure this happened. They also told us they were well supported by the manager and other senior staff, who regularly carried out quality checks on the care being provided.

We also looked at records of medication administration, which formed part of the support planning process. The instructions for the use of medication were clearly documented in care records so that it was clear to the care worker when the medication was due and therefore people were getting their medication as prescribed.

Staff told us people’s rights and choices were respected, and care and support was person centred and individual.

There were arrangements in place to deal with emergencies. Staff said they were trained to deal with people’s health needs. Staff spoke confidently about how they would not hesitate to get a doctor for someone or ring for an ambulance if needed.