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Archived: Steps Care Limited

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Inspection report

Date of Inspection: 27 February 2014
Date of Publication: 20 March 2014
Inspection Report published 20 March 2014 PDF | 74.2 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 27 February 2014, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

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

Reasons for our judgement

Each person we spoke to receiving personal care from Steps Care Limited Domiciliary Care Agency said they were happy with the care they received. Their comments included "They (the staff) are kind” and “we talk about things”.

The staff and manager we spoke with said they agreed that the people who received a service from the agency had their care and welfare needs met. The staff and manager went on to say that people are supported appropriately with daily living tasks, including personal care and meeting nutritional needs.

We looked at three people's care files held at the supported living shared house and spoke to the staff involved in people’s care. We found that all the care files held relevant information. Some demonstrated that, where possible, people were involved in the planning of their care and support needs. Files included personal information and identified the relevant people involved in their care for example, family members. People’s files held an annual health check; this recorded any important health care issue, ensuring people’s health was adequately maintained. For example, doctor visits with actions, outcomes and any follow up required.

The agency is run for one house therefore there is a designated staff team to provide consistency of care. The care files were presented in an orderly and easy to follow format. Staff confirmed that they would refer to the files when needed to ensure appropriate care and support is provided. Assessments were completed and care plans were reviewed on a regular basis.

The care plans we looked at were all updated and written with clear instructions, for example, to meet people’s health care needs. We saw evidence of other agency involvement, for example, a local employer and the learning disability team. This supported the staff to meet people’s individual needs. This demonstrated that other health and social care professionals were involved in people's care so the most appropriate professionals attended to their overall wellbeing. Additionally, care plans showed that people underwent regular reviews.

The care plans we looked at showed people's individual risks had been identified and the necessary risk assessments were conducted and reviewed. Plans were then put in place to minimise any risks that had been identified. For example, we saw risk assessments for people who may become upset. This demonstrated that when staff had accessed information about a person's needs through their risk assessments, they would then be able to determine how best to support them in a safe way.