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Inspection report

Date of Inspection: 4 December 2012
Date of Publication: 29 December 2012
Inspection Report published 29 December 2012 PDF | 84.76 KB

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 December 2012, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with carers and / or family members and talked with staff.

Our judgement

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

Reasons for our judgement

People’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan.

People told us they were happy with the care and support they received. One person told us "The care is very good” and another person said “You press your buzzer and they (the staff) are there in a matter of minutes.” Everybody we spoke with looked clean, well dressed and cared for.

We looked at the care records for six people in detail. We saw people’s needs had been individually assessed, and where necessary plans of care drawn up. We saw detailed information had been supplied by other agencies and professionals, such as social services. This was used to complement the care plans and to guide staff about how to meet people’s needs. People’s beliefs, preferences and cultural background were noted to help ensure diversity was recognised.

The care plans were supported by monitoring records and were regularly evaluated. We found risk assessments were completed and reviewed on a regular basis. Examples of assessments included for nutritional needs, risk of falls and medication management. We also looked at people's daily information records which were completed by the staff. These included reference to visits made by relatives, people's safety, welfare and daily activity. We saw evidence that formal reviews of people's care plans were held. When people’s needs had changed, we found care plans had been amended to reflect this.

We observed staff as they cared for and supported people in communal areas of the home. We saw staff used equipment to help them with the moving and handling of people. Two staff supported people at all times with this activity and people were helped to move safely. We heard the staff talked people through the process from start to finish and provided people with reassurance. We also spoke with a person who chose to spend most of their time in their room. They told us they needed two members of staff to support them when they needed to move and this was always provided. We found this need had been clearly documented in this person’s care plan. This meant the provider was meeting people’s individual needs.

We saw a range of activities were provided for people to take part in if they wished to do so. On the day of our inspection we saw a member of staff facilitated discussions with people in the main lounge. The activity plan for the week showed this was a planned activity on that day. This was well attended by people and we saw them actively engaged. This meant the provider was attempting to maintain people’s welfare and promote their feeling of wellbeing.

We found arrangements were in place to deal with foreseeable emergencies. The provider had a business continuity plan which stated it should be updated monthly or in the event of any changes. We saw the document was last updated in October 2012. The registered manager told us it needed to be updated and this would be done straight away. This meant the provider ensured the needs of people would continue to be met before, during and after an emergency.