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Archived: Allied Healthcare - Devizes Good

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

Inspection Summary


Overall summary & rating

Good

Updated 14 November 2014

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008 and to pilot a new inspection process being introduced by the Care Quality Commission (CQC) which looks at the overall quality of the service

There was a registered manager in post at Allied Healthcare Devizes. A registered manager is a person who has registered with CQC to manage the service and has the legal responsibility for meeting the requirements of the law; as does the provider.

This was an announced inspection which meant the provider knew we would be visiting. This was because we wanted to make sure that the registered manager would be available to support our inspection, or someone who could act on their behalf. The previous inspection was conducted in July 2013, we found no concerns at the time.

Allied Healthcare Devizes is registered to provide personal care to people living in their own homes. Services provided are for both adults and children who may have a range of needs including older people, people with dementia and adults and children with learning and physical disabilities. They also provided 24 hour care to support people to live in their own homes. They also supported people to access facilities within their local community.

Most people told us they were happy with the service they received. They said they had been involved in planning their care and were able to discuss changes when required.

Staff were appropriately trained and had received a thorough induction when they started working for Allied Healthcare Devizes. Where required, staff had received additional training specific to the needs of the person they were supporting. Staff we spoke with understood their roles and responsibilities. They spoke about people they were supporting in a kind and caring manner.

CQC monitors the Deprivation of Liberty Safeguards (DoLS) which applies to care settings. However whilst the law is different in domiciliary care settings the registered manager explained that this topic was “touched on” in induction and they were in the process of implementing additional training for care staff. Care staff we spoke with understood their responsibilities in supporting people to make choices and express their preferences.

Staff told us they felt supported. They told us they received regular supervision and staff meetings were held throughout the year.

We contacted social workers and people who commissioned services from Allied Healthcare. They were complimentary about the staffing and support supplied. One social care professional told us “They are absolutely fantastic, very professional.”

The registered manager monitored the quality of care and support. People who used the service and their relatives were encouraged to feedback about the care and support they received, which was used to makes changes to services as required.

Inspection areas

Safe

Requires improvement

Updated 14 November 2014

This service was not always safe. Whilst the agency had been involved in raising safeguarding alerts with the local authority, the regulations state that the registered person or provider must send notifications about incidents that affect people who use services to the Care Quality Commission (CQC). CQC had not been notified of these and the agency could not find details of the referrals and outcomes.

People we spoke with said they always felt safe and their personal needs were understood.

Staff knew how to identify the signs of abuse and what actions they would take if they thought someone was being abused or was at risk.

Care plans provided guidance for staff on how to minimise the risk of harm for the individual whilst still meeting their needs.

Effective

Good

Updated 14 November 2014

This service was effective. It was clear from speaking with care staff that they had a good understanding of people’s care and support needs. Care plans reflected people’s current individual needs preferences and choices.

Staff received effective induction, supervision and training to support them to fulfil their roles correctly.

People were supported to maintain a healthy diet. Any dietary requirements were provided in accordance with information recorded in people’s care plans.

Caring

Good

Updated 14 November 2014

This service was caring. People spoke positively about the care and support they received. People described staff as “kind” and “compassionate”.

Staff we spoke with described how they respected people’s privacy and dignity. They explained how they ensured people knew what was happening at all times whilst care and support was being given.

Responsive

Good

Updated 14 November 2014

This service was responsive. People had been involved in planning their care. However when asked if the agency asked them for feedback on the services they provided, all but one person said “no”.

Whilst people told us that they could raise concerns and be listened to, they did not feel that things would always be acted on.

The service worked well with other health and social care professionals for example social workers and GPs so that people received continuity of care.

Well-led

Good

Updated 14 November 2014

This service was well-led. Care staff said they felt supported by management. They received regular supervision and appraisals where they could discuss personal development and learning opportunities.

Staff were aware of the whistleblowing policy and felt confident to report any concerns they had with the care offered by fellow workers.