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Archived: Reside at Southwood Inadequate

We are carrying out a review of quality at Reside at Southwood. We will publish a report when our review is complete. Find out more about our inspection reports.
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Inspection report

Date of Inspection: 5 September 2013
Date of Publication: 9 October 2013
Inspection Report published 09 October 2013 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 5 September 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, talked with staff and reviewed information given to us by the provider. We talked with other authorities.

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.

Our judgement

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

Reasons for our judgement

The people who lived at the home we spoke with told us that their personal care needs, physical health needs and social needs were appropriately supported by the staff at the home. They also told us that the food was of a good standard. One person who liked to spend much of the time in their bedroom had a jug of squash available to them. They told us that staff were always encouraging them to drink plenty.

The relatives we spoke with told us that they were pleased with how the home looked after their relatives. One relative told us how they visited at different times of the day unannounced and always found their relative well-cared for. They also said that on request the home had arranged medical appointments when they had concerns about their relative’s health. The other relative told us that the home had taken steps to make the garden safer in response to the needs of their relative.

We looked at the care plans for the three people we pathway tracked through the inspection. We saw that before a person was offered a placement at the home, their needs had been assessed to make sure that these could be met at Southwood Lodge. On entering the home further in depth assessments including risk assessments had been carried out. The range of assessments was comprehensive, including; skincare, personal care, moving and handling, mental capacity, continent’s, nutritional needs, medical and social needs.

From these assessments we saw that care plans had been developed and were in place. The care plans we looked at reflected the needs of the people we pathway tracked. The care plans were also up to date and reviewed monthly.

We saw that people were weighed regularly. Additional steps were taken if a person was a risk of not having enough to drink or eat by means of monitoring through fluid and food charts.

Within people’s care records we saw that information had been gained about their life history to assist in making best interest decisions for those residents who had limited capacity to be involved in their care.

Prior to the inspection we had received concerns that people’s mouth care was being neglected with some people not having toothpaste available to them. On the morning of our visit we checked five people’s bedrooms to see if they had a supply of toothpaste and also spoke with the staff on duty. We found that each person had toothpaste available to them and that the home had stocks available. The staff were aware that stocks of toothpaste were available and where it was stored.

On the day of our visit people were well groomed, dressed in clean clothes clean and well presented.

We had the opportunity to speak to a district nurse who was visiting that morning. They told us that overall they had no concerns about the home.

We observed that people in the lounge were given regular drinks throughout the day. We also observed part of the lunchtime period and saw that people were supported appropriately. Those people needing a specialist diet, such as pureed food, received an appropriate meal.

Within people’s care records we saw that any medical concerns were responded to appropriately with appointments arranged with their doctor. We also saw that people’s other health care needs, such as, chiropody, dentistry and eye appointments were arranged by the staff. In respect of one person we pathway tracked, their chiropodist had recommended that the district nurse team be approached for treating a person’s big toe. We saw that this had been referred appropriately.

One person we pathway tracked through the inspection presented with challenging behaviour and we saw that the home had made a referral to the GP for assistance.

During the inspection we observed the staff assisting one person using a hoist. Two staff were tending to the person, as directed in the care plan, and they reassured the person explaining what they were doing so that the person did not become anxious. We saw within people’s rooms that pe