14 April 2014
During a routine inspection
Allied Healthcare Gravesend provides care and support to people in their own home. It provides nursing and personal care to mainly older people and some younger adults. It can also provide a “live in” service.
When we visited there was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service and shares the legal responsibility for meeting the requirements of the law with the provider. The registered manager provided good leadership and support to staff. The service had systems in place to monitor the standards of care and support that people received. This ensured that people received care and support that met their needs.
The service had systems in place to keep people safe. Risks associated with people’s care and support had been identified during assessments, the level of guidance to keep people safe varied, but there was adequate, to ensure risks were managed safely and consistently.
People had been involved in developing their care plan and had signed to show their agreement with its content. Care plans showed the tasks staff were required to undertake, but the level of detail about people’s choice, preferences and independence skills in relation to their personal care routine varied, to ensure people received a consistent approach to their care and support.
People were treated with kindness and respect. People told us their preferred name was always used by staff and this was recorded in their care plan.
People we spoke with told us they were able to make their own day to day decisions about their care and support. Staff had received training in the Mental Capacity Act 2005 and Deprivation of Living Safeguards, but in discussions staff were not aware of what process would be put in place to support a person to make decisions in their best interests. The service had policies in place so that where people were unable to make more complex decisions and this was reported, it would be managed in line with the Mental Capacity Act 2005.