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Archived: Bspoke social care

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All reports

Inspection report

Date of Inspection: 30 December 2013
Date of Publication: 28 January 2014
Inspection Report published 28 January 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 30 December 2013, talked with carers and / or family members and talked with staff.

Our judgement

People experienced care and support that met their needs and protected their rights.

Reasons for our judgement

We saw the care file for a person who used the service which was held at the office. The manager told us this was a copy of the care file held at the person’s home. The care plan described how staff should respond to the person’s identified needs. This included how moving and handling equipment should be used safely. A relative told us their relation had a file of care plans in their bedroom. The relative said this had been completed, “Compassionately.” The manager told us they wrote a record of what they did each time they visited the person. They had brought some of these back from the person’s home to show us.

A senior support worker told us they had devised the care plans with the person who used the service. They said they had sat down with the person and their relative to prepare them. They said the person would nod when they were in agreement with them. The manager told us the person enjoyed referring to their care plans and this was made into a “Bit of fun.”

The manager told us they provided support with the person’s moving and handling needs. They said another worker, who was not employed by Bspoke Social Care, assisted when two staff were needed to help the person, which was the case for their moving and handling needs. A senior support worker told us they had received training on moving and handling in their previous employment and said they were able to use the moving and handling equipment safely. We asked a person who used the service in a text message, “Are you happy with the support you receive from Bspoke Social Care?” The person replied by text, “Yes.”

We found staff responded to people’s needs. The manager told us the person’s relative helped coordinate the person’s care and ensured any relevant information was passed on to all those involved in the care package supporting the person. We asked a person who used the service in a text message, “Do they provide you with the care and support that was agreed in your care plan?” The person replied by text, “Yes.”

The manager told us the more they got to know the person the better they had become at understanding how the person communicated. The manager described different ways the person communicated with them.

There was a care plan for supporting the person with eating and drinking. This included details that there were guidelines about supporting the person to eat safely provided by speech and language therapy (known as SALT who provide guidance on eating and swallowing difficulties.) The provider may find it useful to note there was no copy of these guidelines in the person’s file.

There was information about the person’s health condition in their care file. The manager told us they did not have any dealings with medication at present, but would do so if this became needed. The manager said they would need to ensure staff had the training required before doing so.

Staff provided effective care. We saw the person’s care plans were written in a person centred manner and included details about how to promote the person’s privacy and dignity. We asked a person who used the service in a text message, “Are you treated with respect?” The person replied by text, “Yes.” A relative said their relation was treated with respect. They gave an example that the door was always shut when their relation received personal care.