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Archived: Cartmel Old Grammar

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Inspection report

Date of Inspection: 5 December 2012
Date of Publication: 9 January 2013
Inspection Report published 9 January 2013 PDF

People should be treated with respect, involved in discussions about their care and treatment and able to influence how the service is run (outcome 1)

Meeting this standard

We checked that people who use this service

  • Understand the care, treatment and support choices available to them.
  • Can express their views, so far as they are able to do so, and are involved in making decisions about their care, treatment and support.
  • Have their privacy, dignity and independence respected.
  • Have their views and experiences taken into account in the way the service is provided and delivered.

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 December 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 carers and / or family members and talked with staff.

Our judgement

People’s views and experiences were taken into account in the way the service was provided and delivered in relation to their care.

Reasons for our judgement

People we spoke with told us they made choices about their lives in the home including about when they got up, the meals they took and how and where they spent their time. People told us they were able to carry out tasks for themselves as far as they were able, with staff supporting them with the things they found more difficult. One person we spoke with told us they were supported to look after aspects of their own medication. Another person said, "[My relative] can’t always choose things for herself but the staff help [my relative] to make choices.” People were supported to maintain their independence and control over their lives.

During the inspection we saw some people chose to spend time in their rooms and other people were in the communal areas in the home. We saw that people were following activities of their choosing such as talking to friends, completing a jigsaw and reading the paper. A member of staff was providing hand massages to people who enjoyed this. One person told us the care staff applied varnish to their nails and said how much they liked this.

Throughout our inspection we saw that the care staff on duty ensured individuals’ privacy and dignity were respected including by knocking on doors to private areas and ensuring doors to toilets were closed when people were using them.

We saw that people were provided with the assistance they needed to eat their midday meal. Some people had special cutlery to assist them to maintain their independence. People who required help with eating received this in a patient and discreet manner. This ensured their dignity was protected.

We looked at some of the records the home held about people who lived there. We saw some people’s personal records held details of the preferences they had expressed about areas of their care and choices they had made about their lives. The provider may wish to note that some people had not had their preferences about their care recorded in their individual records.

The new manager had made a change to how communal areas in the home were arranged. The sitting room had been moved from an open area at the centre of the premises to a large separate room which had previously been used as the dining room. This change gave people a private area in which to sit. The central area was close to the home’s kitchen and was being used as the dining area. We saw the manager had held a meeting with people who lived in the home to discuss the proposed change and to seek their views. We saw copies of letters which had been sent to families of people who lived in the home informing them of the proposed change and giving them information about planned events in the service. This made sure people who lived in the home and their families were kept informed about important things that were happening.