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Archived: Care Purbeck

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

This service is now registered at a different address - see new profile

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Inspection report

Date of Inspection: 1 August 2014
Date of Publication: 17 March 2015
Inspection Report published 17 March 2015 PDF

Overview

Inspection carried out on 1 August 2014

During a routine inspection

A single inspector carried out the inspection of Care Purbeck domiciliary care agency. At the inspection we spoke with the registered manager and care assistants. We also spoke with four people who used the service and observed how staff interacted with people. We looked at people�s assessments and support plans and their daily records. We also looked at staff recruitment and training records.

We also used this inspection to answer our five key questions; is the service safe, effective, caring, responsive and well-led?

Below is a summary of what we found. However if you want to see the evidence that supports our summary please read the full report.

Is the service safe

The provider had a policies and procedures that explained how to identify and report safeguarding concerns. We looked at safeguarding concerns raised with the local authority and evidenced that staff had following the procedures. We spoke to people who used the service and they told us that they felt the provider delivered care in a safe manner and identified safeguarding concerns on their behalf. People told us that they could tell the provider if a care assistant was not providing safe care or was unkind to them and that they felt it would be taken seriously.

The provider showed us safeguarding concerns they had identified for people who used the service and the referrals they had made to the local authority safeguarding team. We evidenced that the referrals had been made in a timely manner and any actions needed to reduce the risk of harm and been put into place. The provider had also attended safeguarding meetings with the local authority to discuss concerns for the people they cared for.

The provider had undertaken a service risk assessment. We looked at the assessment and saw that the provider was doing their upmost to safeguard people in emergency situations; for example staff shortages. There were also emergency plans and actions for care assistants to follow if they identified an emergency for an individual they cared for.

Is the service effective

People who used the service told us their care needs were being met and that they were included in assessments and reviews. We saw care plans were regularly reviewed and this included discussions with relatives, general practitioners, social workers and district nurses. The care plans included information about people's health conditions and wishes in respect of how their care was delivered.

We saw from the care records we looked at people�s care plans were amended should their needs change. We also saw that relatives of people who used the service had been informed about any new needs the provider had identified. The provider told us that they reassessed people regularly to ensure that the care they provided enabled people to stay in their own home for as long as possible. A person who used the service told us �it�s only down to the good quality care that I receive that I and my partner are still living in our own home.�

Is the service caring

At our inspection we spent time observing the staff and their interactions with people who used the service and saw them talking respectfully, calmly and sensitively to the people they cared for. Care staff told us that the people they cared for can become very confused and distressed and so it is important to speak calmly and to be patient in their approach. We observed staff giving people one to one attention and giving them the time to make choices about their care. A person who used the service told us �the carers are wonderful, they really care about me, and the manager is very caring and supportive.�

Is the service responsive

In the records we looked at we saw that care plans reflected people�s individual needs and had been updated every six months and in some cases sooner if new risks or needs had been identified. This meant that the provider was responding to any new needs that people who used the service presented with.

We saw the provider had a complaints policy and information had been given to people who used the service. We spoke with people who used the service and they told us they knew how to make a complaint and it would be taken seriously.

Is the service well led

The provider had a system for on-going monitoring of the service that Care Purbeck provided. The outcome of audits and actions required to improve the service were discussed with care staff. The staff we spoke with talked to us about the outcome of audits and actions and new systems implemented to improve the quality of the service.

The provider supported staff to undertake national qualifications. Staff induction and on-going training was delivered by the provider and also in conjunction with another local provider and the local authority. Staff told us that the registered manager was very supportive and provided all of the necessary training and support to ensure that they met the needs of people who used the service.