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Inspection report

Date of Inspection: 18 November 2013
Date of Publication: 17 December 2013
Inspection Report published 17 December 2013 PDF | 77.45 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 18 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.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

We were supported on this inspection by an expert-by-experience. This is a person who has personal experience of using or caring for someone who uses this type of care service.

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

We spoke with people who told us they were happy with the care they received. Comments we received included; "Quite pleasant living here.”, "I really have nothing to worry about." and “The home on the whole meets my needs.”

People's needs were assessed and care and treatment was planned and delivered in line with their individual care plan. Comprehensive arrangements were in place for carrying out pre-admission assessments. Relatives told us about the positive pre-admission process and how they and their relatives had received a high level of support. This helped to ensure staff were made aware of the person's needs and that they knew these could be met.

During our observations we saw people were clean and well dressed. People appeared relaxed in their surroundings. Communal areas were arranged to promote engagement with other people living at the home and we observed people engaging with others at times. Indeed on the afternoon of our inspection we saw how people came into the lounge area to dance and sing and exercise together. We observed care staff helped people in a person-centred way to dance and sing-a-long as was appropriate for them. We were told that this was a much enjoyed fortnightly experience with this activity person. We saw the evidence of this, as people who were not as engaged in the morning came to life in the afternoon when exercising, singing and dancing.

We looked at four people's care records. We found they contained individualised care plans and we saw risks to people's health and wellbeing had been identified and monitored. The care records were reviewed and updated. We saw daily records were maintained and referrals were made to healthcare professionals when necessary. This helped to ensure people's care records were up to date which helped people to receive appropriate care.

We spoke with a visiting Doctor who told us how highly he regarded the care people received at Riccall House Care Home. He told us they always received appropriate referrals and the treatment they prescribed was always followed. The Doctor said “The residents here are extremely well looked after.” We also spoke with two nurses who were visiting one from the mental health team and the other was a district nurse, they too were positive about the home and the care people experienced.

The provider had in place suitable arrangements for dealing with emergencies. We saw people had information that could be taken to hospital which would be helpful for the hospital staff. In addition to this people were accompanied to hospital by a member of staff, if their relatives were not available. Staff were trained in first aid and fire evacuation. We were also told about arrangements to manage staffing emergencies. This helped to ensure that people would continue to receive their care in the event of an emergency.