Archived: Peterborough Community Care Services DCA

Our inspection on 22 April 2013, we found that on review of the Medication Administration Records (MARS) we saw did not evidence accurate documentation to ensure that people were protected against the misuse of medication. In the course of this inspection on 04 September 2013, we found that the provider had made the required improvements to the recording and monitoring of medication administration.

On 22 April 2013 inspection we found that the provider did not have an effective quality monitoring system in place to ensure the safety and well-being of people who used the service. During this inspection on 04 September 2013 we found that the provider had improved their quality monitoring of the service through surveys, audits and detailed action plans.

The three people who used the service and the two relatives of people who used the service we spoke with had different opinions of the quality of care and support received. One person told us that the care they experienced was, 'Rubbish, they (the provider), don't listen to clients wishes.' Another person told us that it was, 'Absolutely brilliant.'

We saw documented evidence that people who used the service were asked to consent to any safe care and support undertaken by staff to help support their independence.

People's standard of care and welfare was not always maintained. Staff had access to care records to ensure that they provided safe care and support to people. However, two relatives and one person who used the service told us that late calls were a problem and this caused them concern.

When reviewing Medication Administration Records we did not see evidence of accurate documentation to ensure that people were protected against the misuse of medication.

There were effective staffing levels in place to ensure the safety and well-being of people who used the service.

We did not see an effective quality assurance system was in place as there had been no audits undertaken since the previous inspection.

There was no registered manager in post at the time of our inspection.

People who used the service that were spoken with told us that they were supported by staff members and their care needs were met. One person told us that staff were, "Friendly and help you". Another person told us that they were, "Happy with [the] care' received'.

People who used 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.

Improvements had been made to care records to ensure that people were protected against potential medication errors.

Effective staff training was in place to make sure that people who used the service received support and care from skilled and knowledgeable staff. People who used the service who we spoke with told us that staff were trained to deliver care and support to them.

We saw that an effective quality assurance system was in place and that meant that people's feedback was listened to and reviewed to improve the service where appropriate.