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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

All reports

Inspection report

Date of Inspection: 1 August 2014
Date of Publication: 17 March 2015
Inspection Report published 17 March 2015 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 1 August 2014, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, 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

We spoke to staff and to people who used the service about the care they received. We also observed how staff interacted with people who used the service. We looked at the care files of eight people who used the service and looked at daily recordings of the care delivered to people in their own home.

The care records we looked at were all up to date; comprehensively completed and reflected the needs of the people who use the service. The plans provided structure and guidance for members of staff to follow. This ensured that staff identified current and on-going care and support needs and that they were being met consistently and safely.

Care plans were completed by the registered manager and there was evidence that multidisciplinary professionals had been consulted including general practitioners and district nurses. We also evidenced that where additional needs had been identified the provider and undertaken a joint assessment with professionals including the person’s Community Psychiatric Nurse and Occupational Therapist.

There was evidence within the assessments that people who used the service had contributed to their assessment and that their relatives had attended the assessment and had contributed their views. A person who used the service told us that the assessment had been carried out sensitively and the provider had listened and respected their views on the care they felt they needed.

Assessments were carried out before anyone received care from the agency and the information in the assessments formed the basis for the care plan. Care plans included information about personal care, health needs, risks to self and others and the likes and dislikes of the person. The care plans also included information about safety and welfare, communication needs, cultural and religious beliefs and what activities the person liked to undertake. Each care plan that we saw included a risk assessment that outlined the procedure if the individual became ill or there was an emergency. We saw that care plans were regularly reviewed and this included discussions with people’s relative’s and other professionals including the person’s general practitioners and district nurse.

The registered manager told us that they carry out the initial visits of all new clients to ensure that they understood how people preferred their care and support to be delivered. The people who used the service told us that they see the same care assistant for most of their visits which meant that they had continuity in their care they received.

There were arrangements in place to deal with unforeseeable events or emergencies. We saw that each person who used the service had an up to date risk assessments that outlined clearly what actions should be taken in an emergency. For example, people who used the service who were prone to wandering had a clear risk assessment and there were plans in place to deal with this. The plans had been agreed with the people’s relatives and the staff we spoke with knew what action to take.

We spoke with people who used the service and they told us that the quality of care they received was good. A person who used the service said “the care I receive is second to none; I would recommend the service to anyone.” Another person told us “the care I receive is 1st class, I have no complaints.”