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Inspection report

Date of Inspection: 10 December 2013
Date of Publication: 7 January 2014
Inspection Report published 07 January 2014 PDF

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 10 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 and talked with staff.

Our judgement

People experienced care, treatment and support that met their needs and in line with their individual plan of care.

Reasons for our judgement

We looked at this outcome so we could judge the level of care and support provided to the people who lived in Hartland House. We spoke to people who lived in the home and to members of the house committee who were visiting on the day of our inspection. We also observed the way people were cared for, spoke to staff and read daily notes and care plans.

We spent time talking to people in groups in the lounge and dining room as well as people in the privacy of their own rooms. All we spoke to had nothing but praise for the care and support they received. People told us that they were well cared for and said,

“The care here is very good and I am well looked after”.

“I am so happy here and the staff are lovely. Have you tasted the mince pies?”.

“The staff encourage me to do things for myself which I like as I want to remain as independent as possible”.

We could see from daily recordings and care plans that people received good levels of personal care. The daily records were detailed and were used at the handover meeting between shifts so that staff coming on duty were well informed about the people they were supporting.

Health care needs were met through good working relationships with the GPs and district nursing team. Doctors from the two local practices visited the home on a weekly basis to provide medical care and support. The two care managers who were on duty at the time of our visit told us that this system worked well for the people who lived in the home. It ensured any health needs were dealt with as soon as possible. All health care professional visits were recorded in the care plans.

People told us that they did see specialists if necessary and that one of the staff team would accompany them to their appointments if this was necessary. We also learned that opticians, chiropodists and specialists like speech therapists and dieticians visited the home.

We spoke to the staff on duty about the content of care plans and about the way they delivered care. Staff had a good understanding of each person's needs and their responsibilities when giving care and support. Each individual had a care plan in place that covered all aspects of daily living and their health care needs.

There was an interesting programme of activities and we were shown a copy of the December programme. We spoke to the activities coordinator who was chatting with four ladies over coffee having just finished a game of dominoes. They showed us cards and lavender bags they had made in the craft class.

The home had a monthly church service that people could attend if they wished. One person told us this was important as they attended church when they lived at home.

Throughout our visit we observed warm and friendly interactions between staff and the people they supported.