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Archived: Dimak Healthcare

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Inspection report

Date of Inspection: 5, 18 October 2011
Date of Publication: 15 December 2011
Inspection Report published 15 December 2011 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

Our judgement

People using the service receive care that meets their assessed needs but we have concerns that the current system of care planning does not take into account their preferences or wishes.

User experience

People we spoke with were happy with the care they received and stated that they were offered choice in the way that their care was delivered. One person said “The care is quite good.” Two people told us that staff knew exactly what help they needed, however, another person told us that not all staff were aware of their likes and dislikes. One person told us that carers did not always visit at the agreed time because they were too busy. They also told us that very occasionally calls were missed but that they could telephone the manager, who would ensure that someone visited.

Other evidence

Following our last inspection we had concerns about the lack of information in people's care records and lack of communication about people's care needs.

During this inspection we found there had been little improvement in care records. Initial assessments of people's needs carried out by the manager were brief. Care plans we saw in people's homes were also very brief and consisted of listed tasks. There was no explanation about how to carry out these tasks and no indication of people's individual preferences and how they should be met.

Potential risks associated with delivering care in people's own home environment were assessed to ensure that care could be carried out safely. People had moving and handling assessments where this was a relevant part of their care. Some of the assessments were not dated and some people had more than one assessment in their file, which made it difficult to establish which were accurate and up to date.

The manager showed us examples of a new care planning system that was yet to be implemented. The new care plans contained more information about the person's needs and the instructions for staff were more detailed. When fully in use, these care plans should improve the way care is delivered and reviewed.

There had been improvements in the way information about people's health and care was communicated between staff at Dimak and with other professionals or family members. For example, we saw records to show that the manager had acted upon information about a person who was at risk of developing pressure sores. We could also see that information from people using the service or their family was passed on and acted upon by staff.