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Inspection report

Date of Inspection: 14 May 2013
Date of Publication: 9 August 2013
Inspection Report published 09 August 2013 PDF | 89.14 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 14 May 2013, 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 staff, reviewed information given to us by the provider and reviewed information sent to us by commissioners of services.

Our judgement

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

Reasons for our judgement

During our inspection at Gate House we saw friendly, professional and personal interactions between staff and people using the service.

People’s needs were assessed and their care and was planned and delivered in line with their individual care plan. People’s needs were made known to Gate House by their mental health professionals before they came to live at the home and staff at the home met with people using the service to complete pre-admission care assessments, so that provisional care and support plans were in place before their admission. Each person had a range of care plan documents, which included information about their personal needs, goals and choices. We saw that representatives, such as social workers and family members, were involved in care planning, when this was appropriate. People had documented one-to-one key work sessions with a named key worker to discuss their progress and any issues they might be experiencing. One of the people we spoke with said, “My key worker is very good, she helps me”.

People continued to receive care and treatment from their mental health teams, particularly when unexpected changes were noted in their behaviour, such as a deterioration in their mental health or erratic behaviours. People’s community psychiatric nurses (CPNs) and psychiatrists visited, as required. We saw evidence that where staff had alerted mental health teams to people’s ill health, action was taken to provide care and treatment to meet the person’s changing needs.

Care and treatment was planned and delivered in a way that was intended to ensure people’s safety and welfare. Some people had behavioural guidelines provided by their mental health teams to help staff at home to provide appropriate support. Care plans included a brief risk assessment section and most people’s care records contained some brief behavioural risk assessment documents.

People told us that they were supported to understand their health needs, to maintain their health and take their medications. People had access to physical healthcare support and services. Everyone using the service was registered with a local GP. Staff encouraged people to have regular healthcare appointments and checks. Records were kept of health monitoring and of health care appointments on daily record sheets or in people’s individual care records.