Archived: Care Visions at Home

We found the service had appropriate systems in place to ensure that consent to provide care and treatment had been obtained.

A representative of a person who used the service said “X is always asked before they do things. They will explain why things are needed. They encourage him to make decisions and don’t dictate things.”

We found care plans and risk assessments provided clear guidance to inform staff what they needed to do in order to provide care and support according to the personal needs of each person.

A relative told us “They are very good with my X, no concerns at all. My X likes the staff and has improved as a result.”

We found medicines were safely administered and people who used the service received their medicines in the way they had been prescribed.

One member of staff told us: “We have regular supervision and staff meetings which allows me to raise any issue. I feel I’m very supported with my personal development. There is always someone of the phone to speak to if I have any issues.”

We found the provider had systems in place to monitor the quality of the service they provided.

Unannounced spot checks of staff was undertaken by managers to ensure high standards of service were maintained.

We spoke with two people who used the service and one relative and looked at feedback via letters and cards. All of the people who offered feedback were very positive about the level of care they received. One person said "the carers are very helpful" and another told us "I feel confident and involved."

We saw that all relevant policies and procedures were in place. We spoke with two staff members who demonstrated an awareness of safeguarding and mental capacity issues and were confident on reporting procedures. We saw that safeguarding concerns were followed up appropriately with reference to the person's mental capacity status, wishes and choices.

We observed that staff were recruited safely and possessed appropriate qualifications for their roles. We saw that CRB checks were carried out appropriately and stored correctly.

We saw that systems were in place to allow the continual monitoring and improvement of the service delivery. There was a complaints procedure in place and complaints were followed up appropriately.