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Nower House Requires improvement

We are carrying out a review of quality at Nower House. We will publish a report when our review is complete. Find out more about our inspection reports.
All reports

Inspection report

Date of Inspection: 26 March 2013
Date of Publication: 30 April 2013
Inspection Report published 30 April 2013 PDF

People should be treated with respect, involved in discussions about their care and treatment and able to influence how the service is run (outcome 1)

Meeting this standard

We checked that people who use this service

  • Understand the care, treatment and support choices available to them.
  • Can express their views, so far as they are able to do so, and are involved in making decisions about their care, treatment and support.
  • Have their privacy, dignity and independence respected.
  • Have their views and experiences taken into account in the way the service is provided and delivered.

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 26 March 2013, checked how people were cared for at each stage of their treatment and care and talked with people who use the service. We talked with carers and / or family members and talked with staff.

Our judgement

People’s privacy, dignity and independence were respected.

Reasons for our judgement

People expressed their views and were involved in making decisions about their care and treatment. People's preferred daily routines, their likes and dislikes, and the name they wanted to be known by was recorded in five care plans we looked at.

We saw that staff took time to explain what they were doing when they assisted people. We heard staff encourage people to do what they could for themselves.

We heard staff ask people if they wanted to join in an activity or if they preferred to sit and relax. We saw that some people were enjoying craft work when we inspected 'Nower House'. There were two full-time 'activity coordinators' employed to enable people to participate in enjoyable activities.

We spoke with three members of staff and they were able to tell us what people enjoyed doing. They said people's individual care plans were kept up to date with information about the activities people liked and the choices they were capable of making. They were respectful of each person's right to make choices about their care.

Where people's ability to choose had been compromised by their dementia we saw there was accurate and up to date information to guide staff so that people were still enabled to express themselves and make their feelings and wishes known.

Staff told us that visitors were encouraged. They said there were no set times for visiting. They said visitors were simply asked to avoid arriving late in the evening or if the person had expressed a wish not to have visitors that day. One relative we spoke with who was visiting said that the staff were always welcoming and helpful.

We saw that people we spoke with in their own room, or who were seated in the communal lounges, were dressed in clean clothing of their own choice.

We observed that care staff knocked and waited before being invited to enter a person's bedroom.

The people we spoke with all said the staff respected their right to privacy and that they were treated with respect. They said that staff when staff supported them with personal care, such as washing or dressing, the staff always explained what they were doing and showed sensitively when assisting with intimate care.