Archived: Housing & Care 21 - Tovil Green Court

At this visit we saw that information in care plans was now consistent and had been regularly reviewed and updated where necessary. We also found that assessments had been carried out when people had been identified as at particular risk.

People we spoke with were positive about their experiences of the service. One person said 'I absolutely love it here. I have no complaints whatsoever and I love the carers to bits'. We observed that staff treated people with respect and kindness.

Our inspection of September 2013 found that medicines had not been managed safely. At this visit, we saw improvement in some areas but we continued to have concerns about how people's medicines were administered and recorded.

In September 2013, we found that records about care had not been accurately maintained, placing people at risk of receiving inappropriate or unsafe care and treatment. During this visit we read five care files and reviewed other documents about the care delivered to people using the service. We found that, apart from records relating to medicines, there had been a marked improvement in record-keeping.

We read seven care plans and found that, while some information was detailed, risk assessments had not been appropriately carried out in order to protect people's safety and welfare.

We checked the medication and systems at the service and found that staff had received the relevant training in medicines administration. However we saw that there were no lists of medicines on people's care files and that medication administration charts did not itemise the drugs to be given. We also noted gaps and inaccuracies on some charts and that special instructions for particular medicines had not been followed by the service.

We found that care; staff and complaints records had not been maintained to an appropriate standard. There were many contradictions in the documents held about people's care; some of which could have place people at risk.

We spoke to five people who told us that they were happy living in the service. One person said: "I can't faut the care, the staff are wonderful".

People were protected from the risk of abuse and they told us that they felt safe and had a relationship of trust with the care staff.

Medication was managed appropriately and peoples differing needs for support had been considered and recorded.

All staff had received up to date medication training.

The provider had an effective system to regularly assess and monitor the quality of service that people received. People had been invited to complete a survey in which to voice their views of the service. We read comments in the surveys which said: 'I'm very happy with the support so far' and 'I have no issues, the staff are all very good'.

Regular audits had been undertaken and improvements made as a result of the findings.

We found that some of the records at the service were not accurate and fit for purpose.

We reviewed four care plans and saw that there was no record of regular reviews. There was contradictory information about the number and times of peoples care visits which could have led to confusion and inappropriate care being given.