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Archived: Lighthouse Homecare Inadequate

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Inspection report

Date of Inspection: 29 November 2013
Date of Publication: 8 January 2014
Inspection Report published 08 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 29 November 2013, observed how people were being cared for and talked with people who use the service. We talked with staff.

We also spoke with an external social care professional.

Our judgement

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.

Reasons for our judgement

People’s needs were assessed and care and support was planned and delivered in line with their individual care plan.

We spoke with three people who used the service. They were all very positive about the care and support they received. One said, “I’ve got no complaints, none at all.” They said they loved where they lived and felt they had progressed and were more independent. Another told us they were happy living there. The visitor we spoke with said that they could, “See the difference” since their relative had come to the service. People told us that they received support when they needed it.

We looked at four people’s care plans and related documentation. We saw that the care plans were signed and reviews undertaken. The reviewed care plans and agreements in place reflected the risk assessments. We saw that specific risks were detailed together with how they would be managed to protect both the people and the staff supporting them. Staff described flexible ways of working with people to enable them to retain and improve their independence as much as possible. We were told that the signed up to date care plans were kept by people in their homes and came back to be filed in the office following the next review.

We were told that all staff on shift met together every morning and evening. Staff told us that this provided, “Really good handover.” Staff felt that everyone took these meetings seriously so that they worked well and, “Things get done.” We saw that the handover book contained relevant information about people who used the service.

One person we spoke with described their involvement in the community. An external social care professional told us that staff had supported the person both emotionally and practically. This had enabled the person to access opportunities for further independence. We also heard from two people how staff supported them with respect to managing their medicines. Each person had an individual medication plan that was agreed with them. This meant that the support required was regularly assessed to ensure people’s safety and well-being.

Another person told us that they regularly saw their relatives. They described their plans in place for Christmas that included a local dinner dance. We spoke with one relative who was collecting someone to stay for the weekend. We saw family contact recorded in the care plans we looked at.

The service was developing an ‘Individual daily activity monitoring’ (IDAM) system that would be put in place for each person. We saw one example that showed the person’s participation in a variety of activities. This included personal care, laundry, preparing meals, shopping and community activity. Once the system is fully in place it will also demonstrate staff input.