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Archived: Allied Healthcare Brent

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All reports

Inspection report

Date of Inspection: 30 December 2013
Date of Publication: 25 January 2014
Inspection Report published 25 January 2014 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 30 December 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, talked with carers and / or family members, talked with staff and reviewed information given to us by the provider.

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 was delivered in line with their individual care plan. People who used the service and their relatives confirmed that staff were kind, listened to them and provided people with the care and the support that they needed in the way that they wanted. A relative of a person who used the service told us that the agency had been “very flexible,” and had arranged for a regular care worker to provide the care and support that a person needed at 6am so that they could attend an early, regular hospital appointment. Other people commented “I was asked questions about the care that I wanted,” “They listen,” “I get the help that I need,” and “They stay the right time and I get told if they are running late.”

People and their relatives told us that they generally had a regular care worker so received consistency of care, which was important to them. A relative of a person who used the service said that the person who used the service became very anxious when they had a new care worker and took some time to get to know them. A person who used the service told us that they were informed “well in advance,” if their regular care worker planned to take annual leave and had got to know the replacement care workers well. A relative of a person who used the service told us that they were provided with a weekly rota so they knew on a daily basis the name of the care worker who was coming to provide the care that the person needed.

People were very positive about the care workers who provided their care. Comments included “The care worker is very good, she knows what I need,” “The care workers are very good,” “They are excellent,” “They are nice and polite and come on time,” and “I am happy.” Care workers told us that they enjoyed their job supporting and caring for people.

The ten care plans we looked at were personalised and included information about people’s varied needs, including people’s personal care needs. The care plans included guidance about how these needs were met by staff. Reviews of care had been carried out at regular intervals with people who used the service and their relatives. The records of these reviews indicated that the care needs of people had been met and people were not placed at risk of receiving care which was inappropriate or unsafe.

The care workers that we spoke with had an understanding of people’s cultural and religious needs. They confirmed that they always read people’s care plans and followed the recorded guidance about meeting people’s needs. Care workers told us that they informed a care co-ordinator and the person’s family when they found that a person’s needs had changed. A field care supervisor told us that appropriate agencies including the local authority would be informed of any significant change in a person’s needs.

Records showed that people’s progress was monitored by staff. Risk assessments had been completed for a selection of areas including medication, falls, moving and handling and the home environment. These had been reviewed at regular intervals. This indicated risks had been identified and guidance put in place to make sure people were safe. The registered manager informed us that all staff had 24 hour access to a clinical team when they needed advice about clinical issues.