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Archived: Caremark (Redbridge)

This service was previously registered at a different address - see old profile

All reports

Inspection report

Date of Inspection: 16 January 2014
Date of Publication: 1 March 2014
Inspection Report published 01 March 2014 PDF | 76.03 KB

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 16 January 2014, talked with people who use the service and talked with carers and / or family members. We talked with staff and reviewed information given to us by the provider.

Our judgement

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.

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 and their relatives told us that they were visited by staff to go through an assessment of their needs. The manager confirmed that this took place after a referral was made by the local authority and they ensured that people's care met their individual needs. The registered manager explained how they met with other professionals in order to ensure that important information about people's health conditions were shared.

Care and treatment was planned and delivered in a way that was intended to ensure people’s safety and welfare . The service used log sheets to record everything that had been done while they were providing care. The registered manager and staff advised that this was used to identify any changes in people’s needs which promoted people's safety and welfare. Staff told us they always monitored people for changes even when they were seeing the person regularly. For example, staff said "I will notice if there is any change in mood or whether X is able to walk ok." One person who used the service said "I'm very satisfied. X is doing quite a nice job."

People who used the service and their relatives told us that they were visited by staff to go through an assessment of their needs. The manager confirmed that this took place after a referral was made by the local authority and ensured that people's care met their individual needs. The registered manager explained how they met with other professionals in order to get a handover so that they received important information about people's health condition.

We looked at ten care plans and found that people had established goals and the type of care and support needed was clearly documented. People had clear risk assessments that were regularly updated which protected people from harm. The registered manager told us they carried out reviews of people's care plan and risk assessment and we saw evidence that this was done. We saw a particular example which demonstrated joint working of care staff, the registered manager and social worker where risk was identified. Care staff monitored that a particular person was deteriorating and was at risk of injury from an electrical appliance. The service tried to minimise this risk and informed other staff so that this approach to risk minimisation was consistently practiced.

There were arrangements in place to deal with foreseeable emergencies. Staff told us that they would call the emergency services if they were present when an incident happened at people's homes. We saw in care files that some people wore an emergency pendant which staff always ensured people had so that they could press this in the event of an emergency. Staff had received first aid training, but the provider may find it useful to note that while some staff knew what to do in an emergency some staff had not received first aid training since joining the service.