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Archived: West Lodge Residential Care Home

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Inspection report

Date of Inspection: 4 October 2013
Date of Publication: 5 November 2013
Inspection Report published 05 November 2013 PDF

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 4 October 2013, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members and talked with staff.

Our judgement

People experienced care and support that met their needs and protected their rights.

Reasons for our judgement

During our inspection we saw that staff treated people with respect and kindness while delivering appropriate levels of care and support. One person told us, “I like living here. I get well looked after. I think it’s quite a nice place. I am happy here.” Another person said, “It’s quite good here. You know what to expect. I am well looked after.” A relative we spoke with commented, “The people who live here get very well looked after. All of the staff are very kind and caring.”

We looked at care plans which showed that people’s needs and preferences had been assessed and documented. They were personalised and gave staff guidance on the care and support each person needed. However, because some aspects of the records we saw where incomplete and out of date, the guidance provided to staff may not have been as accurate as it should have been in all cases.

A healthcare professional with recent experience of the home told us, "Staff here let us [district nursing team] know of any concerns very quickly. I have no concerns about pressure [skin] care, nutrition or hydration. People do get well looked after here by kind, caring and experienced staff."

The records we saw detailed people’s preferences in areas such as food, activities, clothing and personal routines. They also showed that people had been given access to health care professionals such as GP’s, district nurses, chiropodists and dentists when necessary. This meant that peoples individual care needs had been met.

We saw that activities had been provided at the home by full-time activities co-ordinators and other members of care staff. These had included board games, playing cards, singing, piano playing and making cup-cakes.

However, the provider may find it useful to note that we found no evidence that activities had been planned and delivered in a structured way. For example, staff were unable to provide us with any schedules in which planned activities had been documented. In addition, we found no evidence that the activities provided had been specifically designed to stimulate people with dementia related needs. This meant that activities may not always have been planned and delivered in a way that met people’s individual needs and requirements.

People we spoke with also expressed mixed views about the activities provided. One person told us, “The problem is there is not a lot to do other than read and that gets tiring. We could do with some proper activities to keep our minds active.” A relative commented, “They [staff] do try but activities are lacking here.”