22 August 2013
During a routine inspection
People who used the service told us that everything was discussed with them in relation to their needs. One person told us 'Any new care worker I have listens to how things are done here for me and quickly gets into the routine'.
The care plans and risk assessments for people described in detail triggers, which if experienced, were likely to result in the person experiencing symptoms of discomfort or distress. The care plans and risk assessments provided staff with the relevant information which would enable them to manage these episodes, including any immediate action to be taken, medication, positioning and emergency contact details.
We spoke with five members of staff about their understanding of safeguarding issues in relation to children, young people and vulnerable adults. They all demonstrated a clear understanding of signs and behaviours associated with potential abuse they should look out for.
We looked at the latest survey completed by the service and most people had stated that the capabilities of their carers, in relation to things like moving and handling, assisting with medication and pressure relief, was good or excellent.
We saw that all Care Service Managers (CSM) held the relevant qualifications to train and assess for specific clinical skills. We saw that both the CSM's and the Personal Assistants (PA) had to sign off documentation to confirm that they were both confident in their abilities to complete each procedure safely, known as delegation of tasks.
Most people had said the continuity of PAs was satisfactory, good or excellent. One person told us 'Full time cover always arranged'. Another person said 'We have two regular carers and they are both friendly and very helpful to me'.
We saw that the provider had a dedicated Customer Services Manager and electronic recording system. Records of complaints were reported on and discussed at monthly provider senior management meetings. This included any action that had already been taken and any identified actions that needed to be taken.
We saw that feedback surveys were distributed annually to gain the views and experiences from people who used the services/their relatives about the quality of the service. We viewed the results for the most recent survey and these indicated an overall level of satisfaction with the service.