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All reports

Inspection report

Date of Inspection: 14 November 2012
Date of Publication: 22 November 2012
Inspection Report published 22 November 2012 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 experienced care, treatment and support that met their needs and protected their rights.

The provider was meeting this standard

User experience

eople told us that they were very happy with the care and support they received. Everybody told us that the care provided was excellent. One person said, “She is brilliant I don’t know where I’d be”. Another person said, “I can’t fault it, it is so lovely to have the two girls coming in, I know them both, they are never late and they are just wonderful”. One relative told us, “The agency has been brilliant they have provided a lot of support for mum”. Another relative told us, “I know the two girls and they are the people I want to care for my wife. I chose the agency because it was small and I didn’t want lots of strange people coming and going, they are really good”.

Other evidence

Assessment of people’s needs

We read three care plans and saw that a full assessment of their needs had been recorded before they started to receive services from the agency. We saw that a record had been made of the person’s preferred times and the length of visits. The assessment of need then formed the basis for the care plans. We spoke with the manager about how they carried out the initial assessment. They told us that they always visited the person and discussed their needs with them and any advocate or family member involved.

Risk assessments were completed during the initial assessment for most tasks listed in the care plans and included such things administration of medication. This meant both the people who received care and the care worker were protected from any perceived risk to them.

Care Planning

We read that people’s care plans were person centred, which meant people’s personal preferences had been taken into account. The plans were written from the person’s point of view. We spoke with the manager about the use of care plans. They told us they wrote care plans even though they only employed one care worker. We saw the care plans provided a list of duties and identified problems, aims and goals with a clear emphasis on promoting independence as far as possible. We asked a member of staff about the care plans, they told us they contained enough information to enable them to understand the person’s needs and carry out the care needed. They also told us they spoke to the manager regularly and any changes were clearly communicated.

Delivery of care

We read from records that the care provided was delivered by the manager and one care worker. People were informed in advance who would visit or if there were any changes. This meant people received continuity in their care. We saw that the times and days when care was provide for one person was flexible to cover the working shifts of the primary carer.

Staff spoken with confirmed that they knew in advance who they would visit and they had a very clear understanding of individual needs and preferences.