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Right Nurse Care Services Good

All reports

Inspection report

Date of Inspection: 31 October and 4 November 2013
Date of Publication: 6 December 2013
Inspection Report published 06 December 2013 PDF

People should be treated with respect, involved in discussions about their care and treatment and able to influence how the service is run (outcome 1)

Meeting this standard

We checked that people who use this service

  • Understand the care, treatment and support choices available to them.
  • Can express their views, so far as they are able to do so, and are involved in making decisions about their care, treatment and support.
  • Have their privacy, dignity and independence respected.
  • Have their views and experiences taken into account in the way the service is provided and delivered.

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 31 October 2013 and 4 November 2013, checked how people were cared for at each stage of their treatment and care and talked with people who use the service. We talked with carers and / or family members, talked with staff and talked with other authorities.

Our judgement

People’s privacy, dignity and independence were respected.

Reasons for our judgement

We spoke with five people who used the service or their relatives about their experiences of care provide by Right Nurse Care Services. People told us care staff respected their wishes and involved them in decisions about their care. One person said “the carers are working with me” to plan for the future and a relative told us “they are amazing, they have worked extremely hard at understanding the needs of my parents”.

We reviewed the care documentation of three people who received care from Right Nurse Care Services. We saw the care documentation included information about each person’s likes, preferences and care needs which had been gathered during face to face assessment meetings. We saw that family members and the person who used the service had been fully involved in both the care assessment process and subsequent reviews. The care plans clearly identified the aim of each care intervention and provided staff with detailed information about the person’s preferences in relation to each care intervention. The care plans had been signed by the person who used the service to demonstrate they consented to the care as planned.

We found all of the care plans included clear instructions to staff toensure they acted in accordance with people’s wishes and to encourage individuals to make choices about their care. One care plan said “carers to speak clearly and to discuss what care they intend to provide in advance so that X is aware what to expect.” We spoke with five staff who told us “we talk together with X and plan what X would like to do each day” and “we follow X’s wishes as much as we can”.

The provider and all of the staff we spoke with during the inspection demonstrated during our conversations with them genuine warmth and respect for the people who used the service and a detailed understanding of each individual’s care needs. The relatives of people who used the service told us “I often hear them laughing like school girls together, which is great”, “they are building up a good relationship with X, I see them providing encouragement and reassurance” and “It’s really brilliant, I see them providing understanding and loving care”.

We found a copy of Right Nurse Care Services’s service user guide was provided to each person who used the service prior to the first care visit to ensure everyone had an understanding of the service and it’s policies and procedures.