8 December 2011
During an inspection looking at part of the service
We checked care plans and had concerns that issues we had raised at our previous review had not been addressed, as care plans remained task orientated.
We checked care plans and had concerns that issues we had raised at our previous review had not been addressed, as care plans remained task orientated.
People that receive help with washing and dressing told us they were able to complete some of this and care staff helped them finish off.
We asked people who use the service if they had a key worker that undertook reviews of their needs. Most people could not recall any one being a key worker or conducting any reviews.
We spoke to people that receive support to take their medication and they told us that staff gave them their dosette box so that they can take their tablets.
We were told that one person had to cancel one of their regular visits as staff were either late or early and often didn't call to let the person know.
We spoke to people who use the service and they told us that if they had a complaint they would telephone the office. Some people also would fill out a form if they were unhappy about anything. One person had made a complaint and was satisfied with the outcome and they way the manager dealt with his concern. Only one person told us they were unsure how to make a complaint.
We have asked the provider to take compliance action in four areas to maintain and achieve compliance with all of the essential quality and safety standards. People receive care from staff that do not have access to their care needs assessments. Staff are not provided with documented information on actions to take when people experience a change in their condition.