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Inspection report

Date of Inspection: 25 April 2013
Date of Publication: 22 May 2013
Inspection Report published 22 May 2013 PDF

Overview

Inspection carried out on 25 April 2013

During a routine inspection

Many of the people who lived at the home were not able to talk about their care and support because of their complex needs. We observed that care staff talked to people reassuringly while they assisted them. Care staff explained that they monitored people�s needs by watching their facial expressions and body language, if they were not able to communicate verbally.

In the three care plans we looked at, we found people or their relatives had agreed how people should be cared for and supported. The care plans considered people�s dependencies, abilities and preferences for care. People were involved in discussions about their ongoing care and support. When people declined to be supported with particular aspects of their care, this was recorded.

The provider�s system for managing medicines included individual medicine cabinets for each person, training for staff and regular checks of medicines and of staff�s competence. Staff recorded when medicines were administered or declined.

The provider checked that staff were suitable to work with vulnerable people before they started working at the service. Care staff we spoke with told us that their induction process included reading care plans, shadowing experienced staff and being trained to care and support people safely.

We found that people's and staff records were kept securely and updated regularly. The provider�s policy for record keeping specified how long records should be kept before they were destroyed.