Archived: In Chorus Domiciliary Care Services

Care plans were person centred and documented people's wishes in relation to how their care was provided. Staff members understood how people expressed their needs and wishes about how they wanted to be supported with their care. Staff knew exactly how each person communicated which meant people's wishes were understood and respected.

Records that we looked at evidenced that people were involved in choosing how and when they wanted their care and support. This indicated that people were involved in planning their care on a daily basis.

Reviews were not completed following every incident involving people using the service. There was not any evidence of risk assessments being reviewed following an incident within the service.

In this report the name of a registered manager appears who was in post but on a period of leave. The service was managed by the company director's and other registered manager's from other services. The manager we spoke to during the inspection was a registered manager from the residential service.

A manager we spoke with told us "we gather as much information as possible to try and ensure the continuity of care and to ensure their needs are met. We gather information from the community nurse, care manager, social workers, parents and most importantly from the client".

We were told that the staff were well trained and knowledgeable. We checked staff records and found that staff could access further training together with regular on going education. We saw staff records of regular supervision and appraisal. This ensured that staff were competent to provide people with appropriate care and support.

The provider has good systems of checking the standards of care and support were maintained. They had a regular system of reviewing records and also the care and support provided.

All new staff received a six month induction programme and further training. They also received supervision and appraisal. These ensured that the staff were supported to provide appropriate and skilled care.