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Archived: Horizons Homecare Services

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Inspection report

Date of Inspection: 31 October 2012
Date of Publication: 29 November 2012
Inspection Report published 29 November 2012 PDF

People should be protected from abuse and staff should respect their human rights (outcome 7)

Not met this standard

We checked that people who use this service

  • Are protected from abuse, or the risk of abuse, and their human rights are respected and upheld.

How this check was done

We looked at the personal care or treatment records of people who use the service, reviewed information sent to us by other organisations, carried out a visit on 31 October 2012 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 talked with stakeholders.

Our judgement

People who use the service were not protected from the risk of abuse, because the provider had not taken all reasonable steps to identify the possibility of abuse and prevent abuse from happening.

Reasons for our judgement

We spoke with five staff who told us they had all been provided with safeguarding training. We asked three of the staff about their understanding of safeguarding, and they were all aware of what adult abuse was, and what their responsibility was to report this.

We looked at the records about training. We found that Horizons employed 27 staff, and that only 12 of these staff had received relevant training in the past year. The absence of training for more than half of the care staff group meant the provider cannot provide assurance that staff had the required level of awareness to identify and report any allegations of abuse. This places people who use the service at increased risk of abuse.

We looked at the recruitment procedures for four staff members. We found that checks had been made about the staff's suitability to work with vulnerable people. Staff were required to apply for a criminal records check. We were informed no staff employed at the time of our visit had any positive disclosures. After our inspection we were informed by the provider that staff were required to confirm every year, that they had not acquired any new criminal convictions, that might make them unsuitable to work with vulnerable people.

We were informed by the registered manager that where possible the agency does not handle money on behalf of people. Examples were given when this was occasionally done. Staff explained they would obtain a receipt, and receive reimbursement from the person when they arrived for the next call.

In two of the four care records we read we found information that suggested abuse could have taken place. In one instance the registered provider had dealt with this as a disciplinary matter. In the second no further action about the allegation of money going missing was taken. Neither of these occurrences had been reported to the local authority. In these instances we did not find that the registered provider or manager had taken the appropriate actions or followed their own policy to protect people from the risk of abuse.