Archived: Human Support Group Limited - Altrincham

We were shown evidence that nutrition and hydration training is a core module for all staff on induction and the manager told us refresher training is available for all staff as and when required.

The manager told us; in the event that concerns are raised for an individual a review will be arranged as part of a multi- disciplinary team to safeguard people against risk, self-neglect, malnutrition or dehydration. Any safeguarding concerns will be referred.

The Human Suppot group work in partnership with Dieticians and health care professionals to deliver a bespoke package of care to meet individual needs.

The manager told us since our last inspection they had completed 70% of reviews and they were on target to review all care records alongside reviewing all new assessments and care plans written by senior care staff

As part of our inspection we spoke to the manager, two staff, two people using the service and one relative, alongside reviewing seven records of care.

In all of the seven care records we looked at we found evidence of people's needs being assessed and care and treatment was planned and delivered in line with their individual care plan.

We saw in all the care records information about the individuals personal preferences, likes and dislikes, although in some records this was limited, this was where people were new to the service.

We noted clear care plans were in place in all of the records and these were linked to the assessments of need.

The two people we spoke to who were receiving care told us: 'Very good, do what I want, they (carers) seem OK. One carer used to rush me sometimes, but everything is great at the moment I am not rushed, they always ask me if there is anything else I need before they leave.' I have had wonderful care, better than I thought, I am very proud of what they do for me. I don't know how I would have lived without them, they take notice of me. I want to say thank you.'

During our inspection we found that people who use the service understood the care and treatment choices available to them.

As part of our inspection we looked at eight care records. We raised our concerns with the manager, that in three care records we found limited information which reflected the care needs of individuals. The manager told us, that they were aware of issues with some people's care records which had been highlighted in an audit during November 2012.

During our inspection we looked at the safeguarding policy, and spoke with seven members of staff, all of whom were clear about their roles and responsibilities in safeguarding vulnerable adults.

There were enough qualified, skilled and experienced staff to meet people's needs.