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Inspection report

Date of Inspection: 6 August 2014
Date of Publication: 29 August 2014
Inspection Report published 29 August 2014 PDF

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

Meeting 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, carried out a visit on 6 August 2014, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

People who use the service were protected from the risk of abuse, because the provider had taken reasonable steps to identify the possibility of abuse and prevent abuse from happening.

Reasons for our judgement

We reviewed this outcome because at our last inspection on 4 and 23 October 2013 we had minor concerns about staff record keeping of incidents and staff training. The provider wrote to us and told us the action they had taken, or would take, to address the identified shortfalls. At this inspection on 6 August 2014 we found that the necessary improvements had been made.

During our inspection we saw people were relaxed in the company of staff. We observed staff were caring, and treated people with dignity and respect.

We saw that the service clearly displayed information for people on who to call if they were concerned about their safety or any suspected abuse. We reviewed policies and saw the provider had clear policies on safeguarding and whistleblowing for staff. The policies were reviewed yearly and had been reviewed in February and July 2014. We saw that the registered manager was able to identify that staff had read updated policies on their computer system.

We looked at incident reports and saw that the level of detail in these reports had greatly improved. We saw that the reports clearly documented which de-escalation techniques had been used when a person became upset or aggressive. When restraint was needed and used the report identified how the restraint was carried out. For example, a staff member sitting on a sofa holding hands with the person but still allowing movement. The report showed how long the restraint was needed for and how the person behaved during this time. The report identified what triggers may have led to the behaviour and any lessons learned to prevent further episodes.

The registered manager told us that they had spent time teaching staff how to complete these reports and the importance of the information that was contained in them. We noted that the service did not have many incidents of this nature.

We reviewed training records and spoke with staff. We saw staff had been trained in safeguarding and protecting vulnerable people. We spoke with one member of staff and the manager. They were able to identify different types of abuse and what they would do to safeguard people if they were concerned that a person was being abused. They were able to explain how they would report concerns to outside agencies. These included the local authority safeguarding team responsible for investigating suspected abuse. This told us staff were provided with the information they required to protect vulnerable people.