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Inspection report

Date of Inspection: 13 November 2013
Date of Publication: 11 December 2013
Inspection Report published 11 December 2013 PDF | 78.78 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 November 2013, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members and 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

During our visit we observed workers interacting with people who used the service in a professional and friendly manner. We saw the use of 'remember I'm me' care charts in people's rooms which provided information for staff on people's preferences, routines, individual priorities and care needs. We observed care plans that included information on people's likes and dislikes.

One person we spoke with told us "staff are very good. I prefer to stay in my room but I know I can take part in activities if I want to." Another person told us "I'm very happy here, the staff are very kind." A visiting relative told us their relative was "very happy here. Staff are very kind, in abundance. The nurses are excellent. I'm here every day and they are happy to talk with me, they always listen. I can't fault them, they give freely from their hearts."

We saw that people were supported to participate in group activities and that there were workers employed specifically to coordinate activities for people. We were told some people preferred to stay in their rooms and that activities workers would spend time with them individually, talking with them and supporting them to participate in social interactions. We saw that people were enabled to take part in gardening activities and we saw art work that had been painted by a person who used the service. We were told that social outings were arranged which included visits to local attractions and christmas shopping.

We viewed the care files of four people who used the service. We saw that people's needs were assessed and that care plans were in place that reflected the assessed needs. We saw that care plans were individualised and provided appropriate information about people's care needs. A system was in place for regular care plan reviews and these were seen to be undertaken each month. Regular care reviews were carried out by nursing staff which included the participation of people who used the service and their relatives.

We viewed risk assessments being carried out that included falls assessments, nutritional screening, manual handling and the use of bed rails. We saw that care plans were updated and amended in line with people's changing needs and that people's needs were assessed and care and treatment was planned and delivered in line with their individual care plan.

The care records we saw demonstrated that people living at Westerleigh had access to healthcare professionals as necessary. We saw evidence of referral to external professionals including dieticians, podiatrists and specialist community nurses.

We saw systems in place that ensured relatives were informed of changes to people's care needs, including accidents and incidents as well as changes to their health and wellbeing.