You are here

All reports

Inspection report

Date of Inspection: 5 December 2013
Date of Publication: 28 January 2014
Inspection Report published 28 January 2014 PDF | 83.31 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 5 December 2013, talked with people who use the service and talked with carers and / or family members. We talked with staff.

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. We saw four reablement care plans and there was evidence that they were person centred and unique to the individual’s goals and support needs. We were told by a member of the reablement team that if a person using the service was reported as requiring additional care support, for example due to any deterioration, then a senior care worker reassessed and increased the care support as required. We were informed that people were sometimes discharged from hospital with a package of care greater than required; however, care was reassessed by the team within 48 hours and tailored to meet individual needs.

We were informed by a senior worker that the aim of reablement was to “reduce the amount of care required.” We were also informed that on the whole, “aims were achieved.” We saw the documents used to plan and record key reablement aims and objectives for individual people using the service. Care staff told us they felt that they were able to work in a very person centred way. One senior worker told us that, “Carers can call me if more or less time is needed and then I reassess,” And, “I can amend the care plan to reflect the change.”

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare. We saw that the service had wide-ranging risk assessments reflecting current Health and Safety Legislation. These were held within each information pack supplied to people who used the service. There were several risk assessments noted including those associated with manual handling and reporting of hazards.

There were arrangements in place to deal with foreseeable emergencies such as staff sickness. The service manager informed us that if and when carers rang in sick, “seniors can cover calls if necessary.” The reablement service manager advised they kept a senior cover available to act as a, “floater”; should this be required in an emergency. Staff explained what would happen in the event of a person not responding to a reablement service call. There was a process in place for the care staff to notify their line manager at the reablement service and also, where relevant, the person’s next of kin, neighbours and/or the Police.

People’s care and treatment was planned and delivered in a way that protected them from unlawful discrimination. We were informed by the reablement service manager that there were care workers who could speak Urdu and Gujarati; reflecting the cultural needs of some of the people using the service. We were also informed that interpretation services were available should that be required.

People we spoke to who had used the service said that they felt they had been treated with dignity and respect, one person told us that when they first met the care worker, “I was asked by the carer, what would you like us to call you?” This was evidence that care workers had considered issues of dignity and respect, ensuring that people were addressed in their preferred manner.