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Archived: T H Russell Charitable Trust

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Inspection report

Date of Inspection: 26 June 2013
Date of Publication: 30 July 2013
Inspection Report published 30 July 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 26 June 2013, 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, talked with staff and reviewed information sent to us by commissioners of services.

Our judgement

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

Reasons for our judgement

We spoke with 14 of the 21 people living in the home. Staff understood people's care needs, respected their choices and were sensitive to their wishes. One person told us, "Staff come quickly when I ring for them." Another person told us: "When I was ill staff took very good care of me." We observed staff taking time to support people with their care. For example, staff took time to explain to one person why they were walking into the lounge. We saw staff taking time to communicate clearly with one person who had hearing difficulties.

Staff responded quickly to calls for assistance. People we spoke with told us that staff always came quickly. One person said, " Staff understand I only ring when I really need help." People had access to their call bells. We saw each person in their room had a call bell close at hand. Staff told us that they had time to focus on people's care needs and respond quickly.

People could find their way around the home on their own. There were signs on the bathrooms and toilet to assist people with memory problems. The provider may find it useful to note that picture signs can be useful for people who have difficulty recognising words.

People's needs were assessed and care was planned and delivered in line with their individual care plan. We looked at three care records. We found people's needs were assessed before they moved into the home. People were involved in this process. All three care plans we looked at detailed people's needs and how to support them. For example, one person was very anxious and there was clear guidance for staff on how to support this person. Staff we spoke with were knowledgeable about the person's needs. They were also able to tell us the action they took to help reduce the person's anxiety. Another person was at risk of weight loss and there was information both in the assessment and care plan about this. For example, there was guidance for staff to ensure they monitored the person’s weight each week. There was also guidance on what to do if the person lost weight. Staff had been recording what food the person ate each day. The staff were working with health care professionals to ensure the person was eating enough to put on weight. The provider may wish to note that where guidance in the nutrition screening tool stated further advice should be sought from a dietician this should be recorded with the recommendations.

Concerns over risk to people living at the home were assessed and monitored. Where people were at risk of falls their needs had been assessed and further advice sought from a healthcare professional when necessary. Where people were identified as at risk of skin damage, this had been recorded. The care plan detailed what action staff should take to minimise this risk. For example, one person was reluctant to use continence aids. The care plan gave guidance to staff on how to support this person with regular hygiene assistance during the day. There was also information on what staff should do if they noted any concerns about the person's skin.

Staff knew how to support people with communication difficulties. We found that care plans referred to people's needs. Staff we spoke with told us about people's abilities. For example, for one person who had hearing difficulties, care staff told us how best to talk to the person.