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Inspection report

Date of Inspection: 21 February 2013
Date of Publication: 28 March 2013
Inspection Report published 28 March 2013 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 21 February 2013, talked with people who use the service and talked with carers and / or family members. We talked with commissioners of services.

Our judgement

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

Reasons for our judgement

We spoke with or received feedback from five people who received care and support from Chrome Tree Limited. One person had only recently started to receive care. They told us they had a very thorough assessment carried out. This had identified their needs and enabled them to discuss with the provider how they would like them to be met. The person told us the care experience so far had been "very satisfactory". We looked at copies of two people's care plans. These included assessments of needs and detailed how they were to be met. This confirmed people’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan.

One person told us their care needs assessment had identified a support element the provider had not yet been able to meet.They said this had been because suitable care staff had not been available. The provider confirmed they had discussed this with the person concerned and were seeking to address it through ongoing staff recruitment. The person who received care told us they were in all other respects very satisfied with their care, which they said was "friendly and efficient". This showed the provider and people who used the service discussed and identified where changes to care provision were required and sought to achieve them.

We saw there were a range of risk assessments in place. For example in respect of the home environment and for risk of falls. They included instructions for staff as to how risks could be eliminated or managed. This showed care and treatment was planned and delivered in a way that was intended to ensure people’s safety and welfare.

People told us the service was usually very reliable and punctual. One person had experienced a very temporary problem with their call times. This had however been addressed and they were now "fine". We saw a comment from one person paying tribute to the service's "willingness to be flexible" which they assessed had been "second to none."

People confirmed they had a copy of their care documentation in their home. They told us care staff recorded their care each visit. We saw copies of notes were kept in the office to record action taken daily by care staff. This enabled the provider to check and confirm care had been provided in line with the requirements of the care plan.