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Archived: AC Homecare

This service was previously registered at a different address - see old profile

All reports

Inspection report

Date of Inspection: 16 September 2014
Date of Publication: 22 October 2014
Inspection Report published 22 October 2014 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 16 September 2014, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members and talked with staff.

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

People’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan. During our inspection, we reviewed five care plans which we found reflected individual needs. The care records we reviewed had needs assessments, risk assessments and plans of care and support. We saw evidence that people had been involved in the monthly reviews of their care and support. Most people who used the service had signed their support plans which showed us they had participated with the planning process and had agreed to the content. This showed us that the provider had actively sought people's involvement and consent when planning their care.

Care and support was planned and delivered in a way that was intended to ensure people's safety and welfare. We looked at the care plans and the risk assessments for five people who used the service. We saw environmental risk assessments and moving and handling assessments had been completed before staff had been asked to visit people in their own homes. Risk assessments were relevant to the individual according to their support needs and risk management plans had been written to reduce risks identified. For instance one person had plans to reduce the risks associated with poor nutrition, moving and handling and falls. Another person’s care plan identified, due to their limited mobility, there were risks associated with pressure area care. There were detailed plans in place to manage and reduce these risks.

After each visit care staff had completed a written account of their visit and this included detail of the support that they had provided. We cross-checked these written accounts with the care plans and saw that care had been provided in line with the original assessment and as per the care plan. We spoke with three people who used the service. They told us that they received care and support as per their care plan. They all said that staff were punctual, flexible, completed all tasks and would often do additional things if time allowed. We saw the manager had carried out spot checks to ensure staff had provided care as per the care plan. One person told us they considered their care plan described their support needs accurately. They said, “It describes me well. All the important things are in there.” One relative said, “The daily reports are so detailed and accurate. I rely on them totally when I visit to have a good catch up on how my relative has been.”

All of the people we spoke with were very happy and complimentary about the standard of care they or their family member received. One person we spoke with said, “I was so sceptical at first about whether this service could be beneficial to me but this service has been really very good. The carers are so obliging and helpful. I have built up such a good rapport with them.” One relative we spoke with said, "This is an excellent service. The staff are always punctual, respectful, polite and caring. I have raised concerns on occasions and the service responded immediately. Any suggestions I have made for improvements in care delivery are always considered.” This showed us that the provider was motivated to continually involve people who used the service and relatives in assessing needs and in the development of individually appropriate support plans.

All of the care workers we spoke with were very positive about the standard of care provided by the service. One care worker told us, “I have never worked for such a supportive employer. I can raise any worries or issues I have, when I’m caring for someone, at any time. I know I will be listened to and get a positive response from my manager.” Another care worker said, “Our clients are the most important person in everything we do. We are given sufficient time to care properly to people’s needs. We are not rushed and if we ask to be allocated more time it is considered and acted on.”

We spoke with an external social care professional who said, “This se