14 September 2012
During an inspection looking at part of the service
During this follow up inspection, we spoke with four people receiving a service from the agency and two relatives. We also spoke with five members of staff. The agency did not know we were coming to complete our inspection.
All the people we spoke with told us that they very happy with the care and support they received. One person who needed two carers to provide some of their support told us that 'There are always two, never only one, and always there at the right time.' Another person told us that 'It was a pleasure to see all the carers, they look after me and keep me safe.'
The relatives we spoke to were also very complimentary about the care and support provided. One relative told us that 'The family are very happy and most importantly, xx really likes their carers.'
Our inspection identified that limited progress had been made against the action plan in place. We identified improvements in the reporting and review of safeguarding issues that were helping to keep people safe. Staff training in this area had not been revisited.
There had been no improvements in the how people's medication was managed. The checks and controls in place did not ensure that people received the right medication, at the right time. The planning of support and monitoring required for people with their medication was still unclear. There was no guidance for staff in how to prompt and administer medication prescribed in case of need. The quality of record keeping in this area continued to be poor, making it difficult to check that people's medication was being administered in accordance with their prescription.
Overall, we found that whilst there were systems in place to monitor the quality and safety of care, little action had been taken to review and assess risks and take appropriate action