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Archived: Apex Care

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Inspection report

Date of Inspection: 19 September 2012
Date of Publication: 11 October 2012
Inspection Report published 11 October 2012 PDF | 54.25 KB

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 reviewed all the information we hold about this provider, carried out a visit on 19/09/2012 and talked to people who use services.

Our judgement

People experienced care, treatment and support that met their needs and protected their rights.

The provider was meeting this standard.

User experience

Each person we spoke with told us that they knew that they had a plan of care and that staff used this to give them the support they needed.

Relatives of people told us that their family members were well supported by staff to receive the care they needed.

Two people told us that they had experienced some problems with the timing of care calls but said the agency was working with them to agree suitable times for care visits.

Other evidence

People’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan. We looked at plans of care for four people. These gave information for staff about what tasks carers should perform at each visit

Care plans contained information about the support needs of individuals. We saw information about what the person could do for themselves and about the help and support that was required. We saw good information for staff on how people wanted to be supported. Care plans seen were signed by the person receiving care or their representative.

All of the care plans seen contained risk assessments and these gave information about the individual risk, the level of risk, who was at risk and how any risk could be minimised.

We looked at how staff recorded information about their visit. We saw that staff recorded the time they arrived and the time they left each person’s home. Records included information about the tasks they carried out and how people were supported. These were well recorded and provided evidence of care delivery. These records were signed and dated by the staff member completing them.

We saw evidence in care folders that the agency completed reviews to ensure that people were happy with the care they received and that their needs had not changed. This meant that care and treatment was planned and delivered in a way that ensured people’s safety and welfare.

We looked at how care calls were allocated to care staff. We spoke to the manager who told us that the agency’s computer system was used to plan care calls. The system flagged up any care calls that were not allocated. The agency used a computer system that monitored care calls. Staff logged on when they arrived at a person's home and logged out when they left. This helped to ensure that staff arrived punctually and stayed the correct length of time. The system also alerted the agency if staff did not arrive within a specific time-slot ensuring that prompt action could be taken so that people were not left without care. This meant that people could be confident that visits would not be missed.

The manager told us that each staff member is given a weekly rota on a Friday each week. This rota detailed the calls that care staff were expected to carry out the following week. Staff were asked to notify the office if there were any problems with the rota and if necessary adjustments were made. Staff told us that this system worked well for them and that any problems were quickly sorted out.

One of the staff members we spoke with said that they were not given time to travel between care calls. However they said their care calls were quite close and this did not present any great dificulties.