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Archived: Dovecott Care Home

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Inspection report

Date of Inspection: 18, 19 April 2013
Date of Publication: 30 May 2013
Inspection Report published 30 May 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 18 April 2013 and 19 April 2013, observed how people were being cared for and talked with staff. We reviewed information sent to us by commissioners of services.

Our judgement

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

Reasons for our judgement

Most of the care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.

We looked at the care records of four people who used the service. We found that the majority of peoples' care needs had been identified and an individual care plan had been developed. We found that care plans had been evaluated monthly and records for recording people’s weight, fluid intake and behaviours that challenged the service were maintained. We found that care plans had been updated where needs had changed. We found that care plans had been audited by senior care workers monthly.

The provider may wish to note that we found evidence of review on only one of the care plans seen. The records of this review only listed the external attendees and, other than in one case where “no concerns” had been written, there was no record of the discussions that had taken place or the outcome of the meeting.

The records showed that staff were knowledgeable about peoples care needs and the care required to meet needs. We found that professional advice had been sought where they had identified any issues relating to a person's health. A visiting health professional told us that people using the service rarely had any health needs that required them to visit. They told us that they felt this “Was down to the care people received.” They also told us that the care workers always communicated any concerns “in a timely manner” and this meant that any issues could be dealt with quickly. She told us they were only visiting to monitor tissue viability for one person whose age and general frailty meant they were at very high risk of developing pressure sores. The health professional told us that this person had not developed any pressure sores and where the person had shown some very early signs of this, some months before, the staff had contacted the district nurses and this had resolved quickly.

We observed that there were risk assessment forms completed in the care plans to monitor the risk of pressure sores and these were reviewed monthly. However the provider may wish to note that there were two slightly different versions of the Waterlow tool being diligently completed by care workers monthly in each care plan. We found that these gave slightly different results on level of risk. When asked, the care workers could not tell us why there were two versions of the same assessment tool in use and had they said they had not recognised that this was essentially the same document. This means that the care workers did not fully understand the tool and its use.

We found that other areas of risk had also been assessed such as moving and handling and nutrition. Care plans had been developed to minimise risks identified. However the provider may wish to note we found that not all areas of risk had been identified and assessed. For example risk assessments had not been completed for use of bed rails, the risks of one person using the service removing and carrying fire extinguishers around the home and the risks of people living in the home who were smokers.

The provider may wish to note that we did not see any activities being undertaken during our visits and we asked the staff how the activities were recorded as we did not see any activities recorded in the care files. A care worker told us activities were recorded in separate book but they were unable to locate this.