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Inspection report

Date of Inspection: 25 January 2013
Date of Publication: 2 March 2013
Inspection Report published 2 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 25 January 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service and talked with staff.

Our judgement

People experienced care, 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 plan. We saw recorded examples of where an assessment of need had been completed prior to the service starting in relation to medication prompting and administration. This was very detailed and included all aspects of activities of daily living to ensure that peoples’ needs had been assessed in full to enablestaff to meet them.

Care plans were very detailed about the exact tasks that the person needed support with, such as what help they needed to prepare the medication and any tests that needed doing before the medication was given such as blood tests. For example, records stated “I need you to take my medication out and show me which day it is and wait for my medication to dissolve”. We saw tests were recorded in line with advice from the person’s GP and medical records. We saw the service was able to recognise when the person required review or further monitoring by health professionals and referrals were made appropriately. For example, a health review by a health professional specialist was due to take place the following week and a GP had been informed about blood test results as the person was unable to do this for themselves due to their health needs. The provider said that they had a good relationship with the local surgery who offered a “same day service” to ensure that medication was always available and ordered on time. This meant that peoples’ medication needs could be met at all times

The person told us staff always completed the tasks listed. Comments included “I always know how to get help from someone and they help me properly with my medication, they are great!” The person we spoke with also felt that they could ask for additional assistance and advice if this was necessary and that it was “never any trouble”.

Care and treatment was planned and delivered in a way that was intended to ensure people’s safety and welfare. We saw, for example, that risk assessments had been completed in respect of prompting and administering medication. Other risk assessments included pressure sore risk and prevention, trips and falls and communication needs. The risk assessments were regularly reviewed and the provider was about to complete an environment risk assessment so that people and staff were safe during visits.