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Inspection report

Date of Inspection: 11 October 2013
Date of Publication: 1 November 2013
Inspection Report published 01 November 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 11 October 2013, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

Care and treatment was planned and delivered in a way that ensured people's safety and welfare.

Reasons for our judgement

We spoke with people who lived at Kilmar House. People we spoke with were complementary of the staff who provided care and support. Comments included, “we are very well looked after”, “they do their best to accommodate you”, “smashing”, “they are all very good” and “the staff are the best”.

One person told us that their radiator was not working. Although the person was not concerned about this and had been given alternative heating for their room, the provider told us that he was not aware that the radiator was still not working. We were told this would be rectified.

Care plans are a tool used to inform and direct staff about people’s health and social care needs. We asked people if they had seen a copy of their care plan. The majority of people we spoke with told us they were aware of their care plan, one person told us, “Yes, I have signed it”.

We spoke with staff to establish how they knew what people’s care needs were. We were told that they accessed care plans and asked the person directly. We also observed staff attended a handover when staff changed shifts in the care home, so relevant and important information about people could be shared. This assisted with continuity of people’s care.

We saw people were able to spend their day as they chose. We saw evidence of social activities, and a sign displayed on a notice board showed that on a Saturday, there was a film afternoon. One person who lived at Kilmar House told us about this, and expressed their enjoyment.

We saw one person enjoyed playing cards, and we were told that the staff played cards with her when they were able to. One member of staff we spoke with told us about this and we were told that they had been taught some card games they had not known. This demonstrated that staff were interested in people’s social enjoyments.

We observed the provider had taken time to adapt the grounds to the rear of the home, so people could access seats in the garden, raised flower beds and a new pond. The provider told us that specific things had been added or improved as people had certain interests. For example, the home had chickens, and we were told that this was because one person who lived at Kilmar House used to live on a farm. This demonstrated that the provider and staff listened to people and took into consideration their past and how it may impact on who they are today.

We saw that the home arranged for specialist equipment when a person’s mobility changed, for example hoists, specialist mattress and cushions.

We read in care records and people confirmed that they could access a GP.

Before a person moved into Kilmar House, we saw from documentation that the provider and/or the assistant manager would carry out a pre-assessment. This pre-assessment ensured that a person’s care needs were considered prior to moving into Kilmar House. It is essential people’s health and social needs are assessed prior to them moving into a care home, as this ensures the staff team have the knowledge, competence and experience to care for the person.