20 February 2014
During a routine inspection
People told us they had been treated with respect and dignity by staff from the agency. A relative described the care worker as 'very kind' and 'cheerful', in terms of the way she interacted with their relative.
We viewed ten care files and found that people's needs were assessed, risks to people were identified and plans were in place to minimise these. However, we noted that some information was missing. For example; we could not find any reviews of care plans for 2012. One file did not have up to date risk assessments in place and another had risk assessments that were dated in 2010.
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. However, the provider was reminded that they needed to notify the Commission of any allegation of abuse, which they had neglected to do in January 2014.
The agency allowed people to express their views and concerns in a safe and understanding environment. The deputy manager informed us that they had regular contact with people using the service and their representatives.
Records were kept but were not always accurate and fit for purpose. Care plans had not been consistently reviewed. Some of the incident forms had very little information on them and lacked details of what actually happened and some forms were not legibly written. We noted from the incident forms that there had been occasions where people had been physically or verbally aggressive towards the care workers. There was no information available to demonstrate how the agency supported care workers with this or how they should work with these people in the future.