13 February 2014
During a routine inspection
The staff confirmed that they received appropriate support and training to enable them to do their job safely and effectively. They told us that when first taking up employment with the agency they had received induction training and had spent time working alongside (shadowing) experienced members of staff.
We found that people were involved in making decisions about the level of support they received. Where people lacked capacity to make complex decisions, we saw that 'best interest' decisions had been made on the person's behalf, for example, where carers had taken on the responsibility of managing people's medicines.
We saw that appropriate systems were in place to regularly evaluate the care people received. However, we also saw the care plan for one person had not been updated in response to their changing needs. The provider may wish to note, this meant the person could have been at risk of receiving care or treatment that was inappropriate or unsafe.