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Right Nurse Care Services Good

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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 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 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

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

Reasons for our judgement

We spoke with five people who used the service or their relatives by telephone during the inspection. The people we spoke with were highly complementary of the care they had received from Right Nurse Care Services. Comments included, “brilliant, I am very very impressed”, “splendid I am very pleased with them”, “amazing, they support in every way” and “the quality of carers in the team is exceptional”.

During the inspection we reviewed the care plans of three people who used the service. Care plans are essential to plan and review the specific care needs of a person. They are a tool used to inform and direct staff about a person and their individual care needs. We found the care plans used by Right Nurse Care Services were person centred, detailed and reflected the individual needs of the people who used the service.

People who used the service told us they had met with the provider to discuss their individual care needs prior to the first care visit. We saw records that demonstrated a detailed care needs assessment had been completed by the provider during these initial meetings.

The care plans included clear instructions as to how care should be provided. For each care task the care plan clearly identified; the reason care was required, the objective for the care, detailed specific information on how the care should be provided and a risk assessment for each care task. Risk assessments are a tool to identify any hazards and the action that staff must take to reduce the risk from the hazard. We found detailed risk assessments had been completed for each care task and where appropriate, information was provided on the actions necessary to reduce the level of risk.

We saw evidence which demonstrated peoples care plans had been regularly reviewed. The provider told us care plan reviews were always completed by a registered nurse who met with the person who used the service and their family as part of the review process. Staff told us “the care plans are quite comprehensive” and “I am constantly adding to it to make sure it’s up to date”. We saw that specific care team meetings had been regularly held to enable staff to review care practices, share information and plan future events and activities.

The provider told us that the service had a minimum visit length of four hours and each member of staff was provided with specific training prior to providing care to each person who used the service. People who used the service told us they regularly received a rota telling them which carers would be visiting them each day. Comments included “I have a consistent group of four carers” and “my daughter gets on very well with her carer, she says they are best friends”.

We inspected the daily records in each of three care plans. The records were detailed and included information in relation to the care provided, food and fluid consumed, the persons mood and activities they had engaged with. These records had been signed by care staff and recorded the time of their arrival and departure.

We discussed the timing of care visits with all of the people who used that service that we spoke with. People told us their carers “always” arrive on time and “usually they are 10 minutes early”.