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Ingham Old Hall Care Home Requires improvement

All reports

Inspection report

Date of Inspection: 22 October 2012
Date of Publication: 14 November 2012
Inspection Report published 14 November 2012 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 22 October 2012, 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 staff and talked with stakeholders.

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

People experienced care, treatment and support that met their needs and protected their rights.

Reasons for our judgement

A compliance action was set from the previous inspection during April 2012, where there were gaps found within the care plans we checked. We looked at five care plans during this visit and saw that they had been completely rewritten, in a new format. All five care plans were detailed and informative in most aspects of people's needs. The provider may find it useful to note that some detail was a little too brief within the person's personal details, even though further on in the care plan this became more informative. We saw risk assessments in relation to pressure sore prevention, trips and falls, nutrition and manual handling. These assessments were clearly written and the care plans reduced the risks in respect of threats to people's welfare. For example, the nutritional assessment showed how they identified ways to encourage people to eat such as offering favourite food, finger food such as sandwiches, offering supplements and monitoring their weight. We saw that all the assessments were reviewed on a monthly basis.

Staff told us they could access care plans and the information within the daily records was used during shift handover at the beginning of each shift so they were informed of any changes.

We observed several health professionals such as the district nurse and GP visiting people and these were accompanied by senior staff. Records were updated at the end of their visits. Within one of the care plans we saw how staff had requested assistance from the mental health team during a confusional episode of a person living there and how, through using the multidisciplinary approach of assessment, a positive outcome was reached for that person. This showed us that the care and treatment was planned and delivered in a way that ensured people's safety and welfare.

People we spoke with told us: "I like to choose my clothes when I get up and the staff help me get dressed." Another person we spoke with could not remember if they were helped by staff although they told us they were comfortable living there.