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Archived: Rise & Shine Care Limited

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Inspection report

Date of Inspection: 7 February 2013
Date of Publication: 20 March 2013
Inspection Report published 20 March 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 7 February 2013, observed how people were being cared for 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 treatment 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 plans. People we spoke with told us they were happy with the care and support provided by the agency. People told us they were assessed before they started receiving care from the agency and were made aware of the level of care that staff would provide. People said they knew they could be involved in developing their care plans. One person said “I am now starting to have showers, the service knows about it and it will happen” whilst another said “No changes are required but I would meet the supervisor.”

Each person had their own file which contained a range of information about their individual needs. We looked at three care plans of people using the agency in detail. Each file contained a pre admission assessment which included activities of daily living, psychological and emotional needs. A care supervisor told us that this was to enable the service to determine if it was able to meet the person's needs.

We saw copies of the support plan which had been signed by the people using the service. By signing the support plan people had confirmed the support and care they expected. People's files included information about their interests and personal backgrounds. This information helped to ensure that staff got to know people as individuals and were aware of the things that were important to them.

We saw the care and support plans were personalised and tailored to meet people's identified needs and were regularly reviewed. In the care records there were risk assessments, for example, moving and handling assessments which contained clear information about the numbers of staff required to help a person with mobility needs. Other assessed risks included the handling of food and the working environment in the person’s home. We saw that risk assessments reflected what the risk was and how it was to be managed and action needed to reduce the risk.

The people we spoke with explained how the support was tailored to their individual needs and they were encouraged to be as independent as they could. People told us they found the staff and the management were approachable and they were always made to feel comfortable. As one person said “They are certainly very efficient when they come in.”

There was daily record kept in the home showing what support had been provided to the people receiving a service. The records we saw were detailed and described the support and care given, one record included information on whether the cat was in or out of the home.

We asked the manager as to how staff kept up with research and good practice to benefit people using the service. This was done by the manager researching any changes in care and then supplying staff with the information. The manager recently collected information on Parkinson’s disease and shared the information with her colleagues. This was confirmed by the members of staff we spoke with.

We saw that emergency procedures were in place. These explained how the service would respond to a number of different situations in which the whole of or part of the building may be affected by an unexpected incident. The service’s business continuity plans included fire and evacuation of the premises. The manager explained there was an arrangement agreed for the service to move into other company offices in the event of a serious incident. The manager explained that staff knew who they should contact to get help in an emergency. The arrangements to get more help and support was an escalation up the organisation’s management structure, but there was no readily available written procedure of this.

The provider should note that it would be helpful if the business continuity plan was available in an easy accessible folder so that anyone can follow the correct procedure and contact the right people to keep disruption to the service to a minimum.