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Inspection report

Date of Inspection: 17 December 2013
Date of Publication: 10 January 2014
Inspection Report published 10 January 2014 PDF | 75.98 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 17 December 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 carers and / or family members and talked with staff.

Our judgement

Care 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 their care was delivered in line with their individual care plan. We looked at the records of two of the people who lived there. This included a care plan that showed staff how to support the person to meet their needs in the way they preferred. Care plans had been regularly reviewed and updated, where needed, to reflect the person’s current needs. We saw that the person and their relatives, where appropriate, were involved in their care planning as much as they were able to. Staff had signed people’s care plans to show they had read them and knew how to support the person. During our inspection we observed that people were supported by staff in the way the person preferred and needed.

Records we sampled showed how staff were to support the person to take risks in their daily lives but how the person needed to be supported to reduce risks to their safety and welfare.

Records we sampled showed that people were supported to meet their healthcare needs. Each person had a plan that showed staff how to support the person to identify any health needs and have regular health checks. A relative told us, “Staff take our relative to the doctor when they are not unwell, they are very on the ball as far as their health is concerned.” Records showed that people had regular health checks to promote their wellbeing. The provider may find it useful to note that in records we sampled we saw that one person had a health check but the results and any follow up were not recorded. In another person’s daily records we saw that they had visited their GP the week before our inspection and were diagnosed with a possible health condition. However, this information had not been transferred to their health plan. This meant that people might be at risk of their health needs not being monitored or met.

We saw that people were supported to promote their independence skills. One person said, “They bought me a special kettle here so I can keep my independence but not burn myself.” Records we sampled showed what the person could do and how staff needed to support them. This meant that people were supported to be as independent as possible and to develop their skills.

We saw that people were dressed in different styles of clothing that were appropriate to the weather, their age and the activities they were doing. We saw that attention had been paid to people’s personal care which promoted their wellbeing and self-esteem.

People told us they were supported to attend the local church when they wanted to. Records we sampled showed that people were supported to meet their religious needs and attended church and social events held at the church when they wanted to.

The provider told us that they often supported people to visit their farm that they part owned. People talked to us about their experiences at the farm. One person said, “I love it there, last summer we saw piglets being born and I wheeled them in the wheelbarrow.” Another person told us they liked picking up the eggs and putting them in a box at the gate for people to buy. This gave people opportunities to develop their skills and enjoy time away from living in a city.

Records we sampled showed and people we spoke with told us that people often went out to do activities they wanted to do and also took part in a range of activities within the home. A games machine was provided which people said they liked using. People told us they often went out for walks with the dogs that lived there. One person told us it was their job to feed the dogs each morning. One person said they liked to sing along when a member of staff played the keyboard. During the day we saw that people were engaged in activities around the home. One person helped to make drinks throughout the day. Some people were sewing; others watched TV, listened to music of their choice or spent some time in their bedrooms. We saw that people moved freely around the home as they wanted to.

A car was provide