Watchdog criticises Gloucester-based Nursing Alliance after inspection
BED-RIDDEN muscular dystrophy sufferer Daniel Baker has welcomed a report calling for action to improve care at Gloucester-based Nursing Alliance.
The 38-year-old, who is on a ventilator and needs round-the-clock care, branded the service "ridiculous".
Now Nursing Alliance, which provides carers for people in their own homes and is based in High Orchard Street, has been criticised in a Care Quality Commission report.
A routine inspection, including a spot-check into six service users, on November 8, highlighted six key areas in need of action.
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It found a lack of care plans and risk assessments and not all staff had received safeguarding training.
The quality-monitoring system was not effective and staff were not protected from the risk of violence in people's homes.
Training records revealed 80 staff had not received safeguarding training. Eleven of the 18 staff checked had not received regular supervision as to the standard of care they were administering.
Patient's medical records were described as "not fit for purpose" in the report. There was no risk assessment in place for one patient with a history of violence.
Daniel, who lives in Cheltenham, was under the care of Nursing Alliance between 2009, when his full-time carer mum had a foot operation, and February last year. She continued to need help after her recovery.
"Qualified nurses came around 24 hours a day at first and that was ok," Daniel said.
"I need help washing, feeding and going to the toilet. I need help to cough if I pick up a chest infection and carers need to know how to look after the specialist machines.
"I must have had at least 20 carers. I had 11 in a week once, it was ridiculous."
Daniel's mum, Julia, claimed carers would miss appointments, forcing her to rely on her pensioner sister to help out.
"Sometimes Nursing Alliance would send someone round who didn't seem to have enough experience of how to care for him – what good was that?" she said.
"There was no hands-on training and that had a big effect. When Daniel is turned you have to be very careful his head doesn't hit the wall. Things like that needed to be passed on."
The report did highlight some positives, stating that a yearly satisfaction survey of service users was mainly positive.
Care and service development manager Jerry Brown said a full service review is due to be completed before a second assessment.
"We will be re-inspected and fully expect to be given a full bill of health," he said.
"I was brought in to make changes due to poor working practices implemented by the ex-registered manager who left post around three weeks before the inspection."
Inspectors said Mr Brown had been in post for six days when they visited and had already made an action plan to address issues of concern. The report said they had "confidence that the issues identified during our inspection would be resolved by the new manager".