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The Papworth Trust Centre Waveney Good

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Inspection report

Date of Inspection: 29 August and 15 September 2014
Date of Publication: 18 June 2015
Inspection Report published 18 June 2015 PDF | 78.44 KB


Inspection carried out on 29 August and 15 September 2014

During a routine inspection

We spoke with five people who used the service. We looked at the care records for nine people using the service. Other records viewed included staff training records and quality assurance records. We considered our inspection findings to answer questions we always ask; Is the service safe? Is the service effective? Is the service caring? Is the service responsive? Is the service well-led?

This is a summary of what we found;

Is the service safe?

People using the service told us they felt safe when carers visited their homes.

Risk assessments for five of the nine people whose records we looked at had not been updated and reviewed appropriately. This meant that the service had not considered whether or not all risks to people were still being appropriately managed.

Is the service effective?

People told us that they felt that they were provided with a service that met their needs. One person told us, "The carers are great. I can't complain about the service." Another person told us, "Some are better than others. They all help me out enough though."

Five of the nine care records which we looked at were out of date and had not been reviewed for some time. Three of the five people we spoke with told us that they had not had a review of their care needs in the 12 months prior to our inspection. This meant there was a risk that people could receive inappropriate or unsafe care as the service had not assessed whether their needs had changed.

Is the service caring?

We reviewed the responses to a survey of people's views carried out in 2013. We also reviewed the contents of some responses which had been received for the 2014 survey, which was in progress at the time of our inspection. We found that there was evidence that the service had addressed some of the trends in negative feedback in the 2013 survey. However, the responses received as part of the 2014 survey indicated that comments people had raised in 2013 regarding not having reviews of their care had not been addressed by the management of the service.

Is the service responsive?

People we spoke with told us that they knew how to make a complaint if they were unhappy. We saw that where people had raised concerns appropriate action had been taken to address them.

The management of the service had responded appropriately to accidents and incidents and learned from these.

Is the service well-led?

The system in place to monitor the quality of the service was not robust enough to identify issues in service provision. Some audits we reviewed identified issues, and there was evidence to support that appropriate action was taken by the management of the service to rectify these issues. However, other audits failed to identify that the care records for people were out of date. This meant that we were not assured that the service was well-led.