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Archived: Orby House

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Inspection report

Date of Inspection: 13 September 2013
Date of Publication: 2 October 2013
Inspection Report published 02 October 2013 PDF | 76.32 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 13 September 2013, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.

Reasons for our judgement

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

We looked at all the care plans. These were developed specifically for each individual and provided staff with guidance on how to meet people's health, social and personal care needs. We saw that care plans were reviewed monthly by the individuals using the service and their key worker. We saw that people using the service had signed documentation within their care plans to show that it had been explained to them and they agreed and understood the content.

Risk assessments were also in place where areas of potential risk to people's general health, safety and welfare were identified. We saw that risk assessments were reviewed on a six monthly basis or sooner if there were significant changes in people's needs or circumstances.

Guidance was in place for how to support one person who presented with behaviours that were challenging. The specific behaviours the person may exhibit were clearly listed, together with the appropriate action that staff should take and information about what could trigger the behaviour. We sampled incident records that had been completed following an episode of challenging behaviour and saw that staff had adhered to the documented guidelines on every occasion.

The activity planners showed that people were supported to take part in a range of activities including going to a work placement, going to day services, bowling, cinema, shopping, discos, clubs, bingo, theatre, completing puzzles and listening to music. The activities were appropriate to the interests and age of the people using the service.

Health action plans were included in the care plans and contained information to support the person to remain healthy. Information about their prescribed medication, appointments attended with external professionals and weight charts were included in these plans. Hospital passports were also available in each care file. We saw that the hospital passports provided information about the individuals to assist hospital staff in the event treatment at hospital was required. This meant that care and treatment was planned and delivered in a way that was intended to ensure people’s safety and welfare.