CQC inspection reports that cite us. CQC regularly cite us in their inspection reports of our customers and we’re also cited by the Scottish Care Inspectorate. The following are all extracts from CQC and Scottish Care Inspectorate reports as a result of inspections performed at care homes where Mobile Care Monitoring is being used.
Date: February 2016
‘The service used a system called Person Centred Software. This is an innovative mobile solution for evidencing care interactions and care planning for social care. Each member of staff had their own mobile handset where they were able to access all records and information for each person using the service. When care was given the details were uploaded to the device so all staff, managers and even relatives (where appropriate) could see what care and support had taken place. One member of staff told us, “The person centred software is really good. It’s great for updating records and knowing the behaviour of people.”‘
‘A detailed support plan was in place which covered areas such as medicines, mobility, eating and drinking, communication, and social and spiritual needs. Some people also had information about how to identify warning signs that they may present with behaviour that challenged the service and what staff could do to reinforce positive behaviours. We saw this information in people’s care files but we also saw this information in the Person Centred Software. As information was entered electronically at the point of care, we could see the most up to date information about people. When people’s health care needs changed this updated the care plan so staff always knew how to meet people’s needs.’
Date: January 2016
‘New online person centred care plans allowed care workers to spend more quality time with people.’
‘Health professionals had access to the service’s new Person Centred Software which enabled them to contribute effectively to people’s care and support plans.’
‘The implementation of the new person centred software has improved the services potential ability to audit and improve the quality of care being given.’
‘Care records clearly showed people had access to healthcare professionals when required. People told us that they liaised with their GP, mental health professionals, dentists and optometrists in the community when required. One person said, “I haven’t been feeling well so they [staff] have made an appointment for me with the doctor.” We saw one person being supported by staff to attend their health care appointment. The new online person centred software also had the capability to allow GP’s and other appropriate professionals temporary access (and view only) of an individual’s care records in their own offices in order to contribute effectively to peoples care with current information.’
Date: May 2015
‘On our second visit we looked at a care monitoring and recording system that the home had installed. This meant that entries were completed by staff onto a mobile handheld electronic recording system throughout the day each time they had an interaction with a person at the home. This then automatically informed the manager and other staff on duty for example if a person had not had fluids or food at the optimum level within a two hour period, and gave print outs of the overall food or fluid intake for the person for the day. This helped ensure that staff had a high awareness of monitoring food and fluid consumption for people at potential risk of poor hydration or nutrition. Staff we spoke with told us the system worked well as it was completed while they were with the person rather than having to remember to complete paper records later about food or fluids taken.’
Date: April 2017
Each staff member had an i-pod which allowed them to access people’s records only accessed via a password. These included care plans for personal care, safety and the environment, nutrition, activities, communication, continence needs, mobility, medication, emotional support and sleeping patterns. Staff were also able to access the handover notes for each shift and add to them if a GP had been called, for example and could also log any concerns raised by a person or their family. As staff had the i-pod with them they were able to refer instantly to the records which meant it was better for the person as they could remain with them while checking their records.
Care records resulted from the initial assessment and were person-centred. They included all key aspects of a person’s needs such as communication, lifestyle preferences, emotional support needs, mobility, nutrition skin integrity and medication. Each assessment discussed the present situation for a person, what their needs were and how these were to be met with very specific guidance for staff. The level of support required for people was highlighted according to the activity or decision they were undertaking. In one care record we saw ‘[Name] can communicate their needs but gets confused when people ask them questions. They may need more assistance making choices that are in their best interest…They sometimes find it easier to make decisions if given a choice of two or more.’ On each assessed need the person’s risk assessment scores were noted helping staff to see instantly how other aspects of their abilities may impact on their care need.