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Archived: Cartmel Old Grammar

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All reports

Inspection report

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

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Not met 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 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 were placed at risk of receiving unsafe or inappropriate care because their care plans lacked detail and had not been updated as their care needs changed.

People were placed at risk because the provider did not have robust procedures in place for dealing with foreseeable emergencies.

Reasons for our judgement

People we spoke with told us they were “well looked after” in the home. One person told us, “The staff know their stuff” and someone else commented, “[My relative] always looks happy and well cared for.”

We looked at a sample of the care records the service held about people who lived there. We saw an assessment had been carried out of the individual’s needs before they were offered accommodation in the home. The needs assessment had been used to develop a plan of the care to be provided to the individual.

We saw that the care plans did not include detailed information for care staff about how to support individuals. Where there had been significant changes to the support individuals required the care plans had not been updated to reflect this.

We saw that some of the care records held inaccurate and conflicting information. The records for one individual stated that they could raise themselves from a sitting to a standing position without any assistance from staff and then also stated they needed the assistance of one or two members of staff to stand up from a sitting position. This person’s records also stated they were independent in some areas of their care where this was no longer the case.

The care records for another person stated they could transfer themselves from their bed or chair with the assistance of one member of staff. However, the manager told us this person’s needs had changed and they now required the use of a hoist for all transfers.

The records held about people who were at risk of developing pressure sores did not include detailed information about how care staff were to support them to maintain the health of their skin. Although there were templates where care staff could record the assistance they had given to relieve pressure areas these had not been completed regularly.

We looked at the records about a person who had developed more complex care needs since they had moved into the home. There was no detailed information for care staff about how to support the individual with the new aspects of their care needs and no plan of how staff were to respond in the event of their requiring specialist support.

The lack of detailed information for care staff about how to support individuals meant people were at risk of not receiving the care they needed.

Although the home had a plan for dealing with some foreseeable emergencies this did not include the actions to be taken in the event of the central heating not working during the winter period. The heating in the home was provided by an oil fired boiler and we had been informed of 3 previous occasions when there had been no oil to power the heating. The manager told us care staff would place electric heaters in people’s bedrooms if the central heating did not work. We saw there were not enough heaters in the home for one to be placed in each room. This meant people could be in unheated rooms if the central heating did not work.