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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 be protected from abuse and staff should respect their human rights (outcome 7)

Meeting this standard

We checked that people who use this service

  • Are protected from abuse, or the risk of abuse, and their human rights are respected and upheld.

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

People who use the service were protected from the risk of abuse, because the provider had taken reasonable steps to identify the possibility of abuse and prevent abuse from happening.

Reasons for our judgement

We saw that the provider had a policy on safeguarding vulnerable adults that contained a flowchart for staff to follow should they identify a safeguarding concern for a person they cared for. The provider also had a copy of the local authority safeguarding policy and procedure that was accessible to all care staff. The provider may find it useful to note that the copy of the local authority policy and procedure they had was out of date as it had been updated in October 2013.

The provider had a whistleblowing policy and the staff we spoke with were able to explain how they could escalate concerns using the whistleblowing policy. All staff received training on adult safeguarding within their induction. We looked at the training records for all staff and saw that refresher training on safeguarding and the provider’s policy was up to date. We spoke with care staff and they were able to explain the provider’s policy and identify to us the types of abuse covered within the policy. One worker told us “safeguarding concerns are taken very seriously by all of the care staff.” They also told us that any concerns they had raised had been responded to immediately by the registered manager.

The provider supported some people who could decline care or become present with challenging behaviour. We saw that the provider had a policy on managing challenging behaviour. In the care records we looked at we saw that where challenging behaviour had been identified, care plans had been revised and risk assessments had been undertaken.

We spoke with people who used the service and they told us that risk of harm or abuse had been discussed with them when reviews of their care arrangements were undertaken. A friend of a person who used the service told us “the provider genuinely cares for the people they support and I’m confident they respond quickly to any safeguarding concerns raised with them.”

We found that the provider had responded appropriately to all allegations of abuse. We looked at a safeguarding concern that the provider had raised recently. We evidenced that the provider and had made a written report of the incident and reported it immediately to the local authority. The provider attended meetings with the local authority and multi agency professionals to discuss the concerns. We looked at the records relating to the incident and found that the provider had taken action to minimise any further distress to the person.

The provider responded to people if they needed help in an emergency. There was an on call policy that explained how staff should respond in an emergency. The policy outlined what staff should do if they could not gain entry to a person’s home and what they should do if they identified a safeguarding concern outside of normal working hours. All incidents identified out of normal working hours were recorded on an on call log sheet that detailed the nature of the concern and the action taken. We looked at log sheets and saw that incidences had been appropriately recorded and actions taken to minimise further risks to the person.

We looked at the procedures for managing people’s money to ensure that people’s finances were safe and the risk of financial abuse minimised. We evidenced that the provider had a policy on handling people’s finances. The policy detailed how care staff must always carry a receipt book and record all cash transactions with people who used the service. We looked at people’s care records and saw that transactions had been recorded which detailed a breakdown of money spent and receipts for goods purchased.

The provider had recognised the risk of harm to a person they were caring for. The risks to the individual and been discussed and assessed with the person’s relative and GP. A detailed risk assessment had been undertaken and was in the person’s care records. The risk assessment identified actions to be taken should the person be harmed. We also evidenced that the provider had met with the per